Provider Demographics
NPI:1427910322
Name:BORNER, DANIEL L SR
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:L
Last Name:BORNER
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 ARBOR LN
Mailing Address - Street 2:
Mailing Address - City:OSWEGO
Mailing Address - State:IL
Mailing Address - Zip Code:60543-7512
Mailing Address - Country:US
Mailing Address - Phone:630-346-6544
Mailing Address - Fax:
Practice Address - Street 1:540 ARBOR LN
Practice Address - Street 2:
Practice Address - City:OSWEGO
Practice Address - State:IL
Practice Address - Zip Code:60543-7512
Practice Address - Country:US
Practice Address - Phone:630-346-6544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-29
Last Update Date:2025-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)