Alexis Borodin
Speech-Language Pathologist • Loves Park, IL
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Alexis Borodin has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Alexis Borodin was a registered Speech-Language Pathologist practicing in Loves Park, IL. Throughout an active medical career spanning 1 years, Alexis Borodin provided care at the practice location at 1405 MAPLE AVE until profile deactivation on 2018-07-09.
Practice Location & Contact Primary Location
1405 Maple Ave
Loves Park, IL 611113006
Specialty Benchmarks & Practice Insights
Comparative analytics for Speech-Language Pathologist in Loves Park, IL
Practicing in Loves Park, IL (10321 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 235Z00000X
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 1405 MAPLE AVE, LOVES PARK, IL 611113006 (Tel: 8156544502)
Registered at 6389 GREEN NEEDLE DR, LOVES PARK, IL 611117119 (Tel: 7242195722)
Recorded as ALEXIS BORODIN
Speech-Language Pathologist (License #146013480 in IL)
Record deactivated on July 09, 2018
NPI status registered as active in NPPES database
Registered at 1405 MAPLE AVE, LOVES PARK, IL 611113006 (Tel: 8156544502)
Registered at 6389 GREEN NEEDLE DR, LOVES PARK, IL 611117119 (Tel: 7242195722)
Recorded as ALEXIS BORODIN
Speech-Language Pathologist (License #146013480 in IL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
6389 Green Needle Dr
Loves Park, IL 611117119
Phone: 7242195722
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