Organization Active NPI

Lilac Health PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Plainfield, IL
National Provider Identifier
1043050420
Registry record updated May 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
LILAC HEALTH PLLC
Practice address
1913 Crestview Dr
Plainfield, IL 60586
Phone
(815) 919-4890
Fax
(877) 483-9684
NPI assigned
May 31, 2024
Last updated
May 31, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Cherie A Borkorm, APN, FNP-C, PMHNP-BCNPI 1336604784
Title
President/Provider
Phone
(815) 919-4890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NU
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

1913 Crestview Dr
Plainfield, IL 60586

Mailing address

992 Brook Forest Ave # 1039
Shorewood, IL 60404-8807
Phone (815) 919-4890

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1043050420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "992 BROOK FOREST AVE # 1039",
            "city": "SHOREWOOD",
            "state": "IL",
            "postal_code": "604048807",
            "telephone_number": "815-919-4890",
            "fax_number": "877-483-9684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 CRESTVIEW DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "60586",
            "telephone_number": "815-919-4890",
            "fax_number": "877-483-9684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LILAC HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "BORKORM",
        "authorized_official_first_name": "CHERIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/PROVIDER",
        "authorized_official_telephone_number": "815-919-4890",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APN, FNP-C, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.