JAKUB PIOTR BORLA
NPI 1114721289
Student in an Organized Health Care Education/Training Program in Evanston, IL

Active since April 01, 2025PECOS Enrolled
2650 RIDGE AVE STE 1304, EVANSTON, IL 60201(847) 570-2700 Get Directions Write a Review

NPPES record last updated: April 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jakub Piotr Borla NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAKUB PIOTR BORLA (NPI 1114721289) is an individual student in an organized health care education/training program in Evanston, Illinois and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114721289
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJAKUB PIOTR BORLA
Location Address2650 RIDGE AVE STE 1304Evanston, IL 60201-1700
Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150
Sole ProprietorNo
Enumeration DateApril 1, 2025
NPPES CertifiedApril 1, 2025
NPI 1114721289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2650 RIDGE AVE STE 1304, Evanston, IL 60201

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jakub Piotr Borla is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Student in an Organized Health Care Education/Training Program
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Family Medicine
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Dermatology
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Student in an Organized Health Care Education/Training Program
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Internal Medicine
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Student in an Organized Health Care Education/Training Program
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201
Student in an Organized Health Care Education/Training Program
2650 RIDGE AVE STE 1304
EVANSTON, IL 60201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jakub Borla's NPI number?

The NPI number for Jakub Borla is 1114721289. It was assigned to this individual provider in the NPPES registry on April 1, 2025.

Where is Jakub Borla located?

Jakub Borla practices at 2650 Ridge Ave Ste 1304, Evanston, IL 60201. The listed phone number is (847) 570-2700.

What is Jakub Borla's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jakub Borla enrolled in Medicare?

Yes. Jakub Borla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jakub Borla was last updated on April 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.