Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ALEXIS BORODIN
Deactivated Sole ProprietorALEXIS BORODIN is a Speech, Language and Hearing Specialist healthcare provider located in LOVES PARK, Illinois. NPI 1851880363 is deactivated in the NPPES registry. Verify at CMS.
Speech, Language and Hearing Specialist · LOVES PARK, IL
This NPI has been deactivated.
The record was deactivated on July 9, 2018.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1851880363
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 9, 2018 (0.16712328767123 yrs)
- Last Updated
- Aug 27, 2024
- Deactivated
- Jul 9, 2018
- License
-
146013480 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1405 MAPLE AVELOVES PARK, IL, 611113006Browse IL providers · Browse ZIP 61111
- Phone
- 8156544502
- Primary Specialty
-
Speech, Language and Hearing Specialist
235Z00000X
Other Speech, Language and Hearing Specialist Providers in LOVES PARK, IL
| Name | Credential | NPI |
|---|---|---|
| MARIA E OLIVERI | — | 1174724009 |
| MS. ANN LESLIE ABRAHAM | MA/CCC/SLP-L | 1134495385 |
| TIFFANY ERIN REEL | — | 1912407040 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.