ALEXIS BORODIN – Speech-Language Pathologist, NPI 1851880363

ALEXIS BORODIN is a healthcare provider. based in Loves park, Illinois. specializing in Speech-Language Pathologist. They hold a License No. 146013480 (IL). The NPI Number for ALEXIS BORODIN is 1851880363

Main info

Female
Sole Proprietor
Name
ALEXIS BORODIN
NPI
1851880363
Phone
(724) 219-5722
Address
6389 GREEN NEEDLE DR
Enumeration Date
9 May 2018
Deactivation Date
9 July 2018
Reactivation Date
27 August 2024
Last Update Date
27 August 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

Provider Addresses for ALEXIS BORODIN

  • 6389 GREEN NEEDLE DR

    LOVES PARK, IL 611117119

    Phone: (724) 219-5722

    Type: Mailing

  • 1405 MAPLE AVE

    LOVES PARK, IL 611113006

    Phone: (815) 654-4502

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61111)

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Frequently asked questions

What number should I use to identify ALEXIS BORODIN for billing?
Administrative and clinical systems typically use NPI 1851880363 for ALEXIS BORODIN.
Is ALEXIS BORODIN's NPI status active today?
Active status means ALEXIS BORODIN's NPI record is not deactivated in the public file.
What services align with ALEXIS BORODIN's listing?
ALEXIS BORODIN's public classification highlights Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to ALEXIS BORODIN?
ALEXIS BORODIN is associated with Loves Park, Illinois in the same public data insurers reference.
Can I export ALEXIS BORODIN's record?
You can download the official NPPES record; we summarize key fields for readability.

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