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General NPI Number Information
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NPI Number | 1902782121
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Entity Type | Individual
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Provider Name | IRENE BOROVKOV APN
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Gender | Female
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 2101 S ARLINGTON HEIGHTS RD STE 111
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City | ARLINGTON HEIGHTS
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State | IL
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Zip | 60005-4197
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Country | US
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Telephone | 847-228-3200
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Fax | 847-228-3740
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Provider Business Mailing Address
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Address Line | 636 BUCKTHORN TER
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City | BUFFALO GROVE
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State | IL
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Zip | 60089-1832
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Country | US
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Telephone | 847-322-9636
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 209032732
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License Number State | IL
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