Individual provider Active NPI

Cherie A Borkorm, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Plainfield, IL
National Provider Identifier
1336604784
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
277001650 Issued in IL
Practice address
1913 Crestview Dr
Plainfield, IL 60586-4126
Phone
(815) 995-0294
NPI assigned
Feb 8, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 277001650 IL Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 277.001650 IL

Addresses

Primary practice location

1913 Crestview Dr
Plainfield, IL 60586-4126

Mailing address

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

Other practice location 1

70 S River St
Aurora, IL 60506-5185
Phone (630) 844-6226

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191220002464 IL Practitioner - Nurse Practitioner 3779917976 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
277.001650ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Family Counseling Service of Aurora Multi-Specialty CurrentSince Dec 18, 2019 Accepting new patients
Lilac Health PLLC Multi-Specialty CurrentSince Aug 25, 2024 Accepting new patients
Family Counseling Service of Aurora Multi-Specialty Current Accepting new patients
Signify Health Medical Associates, PLLC Multi-Specialty CurrentSince Oct 8, 2019 Accepting new patients
Grow Healthcare Group PA Multi-Specialty CurrentSince Sep 18, 2024 Accepting new patients

Locations

70 S River St
Aurora, IL 60506
Phone (630) 844-2662

605 N Michigan Ave
Fl 4
Chicago, IL 60611
Phone (773) 232-5338

992 Brook Forest Ave
Shorewood, IL 60404

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1336604784",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 CRESTVIEW DR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605864126",
            "telephone_number": "815-995-0294"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 S River St",
            "address_purpose": "LOCATION",
            "city": "Aurora",
            "state": "IL",
            "postal_code": "605065185",
            "country_code": "US",
            "telephone_number": "630-844-6226",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORKORM",
        "first_name": "CHERIE",
        "middle_name": "A",
        "credential": "FNP-C, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IL",
            "license": "277001650",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "277.001650",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

Verify at the official NPI Registry.