Individual provider Active NPI

Irene Borovkov, APRN, CNP

  • Nurse Practitioner
  • Gurnee, IL
National Provider Identifier
1902782121
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209032732 Issued in IL
Practice address
6155 Grand Ave
Gurnee, IL 60031-1651
Phone
(847) 535-7647
Fax
(847) 535-8109
NPI assigned
Aug 13, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209032732 IL Primary
Adult Health Nurse Practitioner 363LA2200X 209032732 IL

Addresses

Primary practice location

6155 Grand Ave
Gurnee, IL 60031-1651

Mailing address

6155 Grand Ave
Gurnee, IL 60031-1651
Phone (847) 535-7647

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
I20251110000940 IL Practitioner - Nurse Practitioner 0941457238 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Suburban Endocrinology and DiabetesGroup PAC ID 8426946229, 9 clinicians

Practice addresses (Care Compare)

2101 S Arlington Heights Rd
Suite 111
Arlington Heights, IL 60005-4197
Phone (847) 228-3200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209032732ILMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Suburban Endocrinology & Diabetes CurrentSince Oct 23, 2025 Accepting new patients
Lifetree Home Health Inc. Current Accepting new patients
Central Dupage Physician Group Past Accepting new patients

Locations

2101 S Arlington Heights Rd
Ste 111
Arlington Heights, IL 60005
Phone (847) 228-3200

Interoperability endpoints

  • Direct secure messaging: iborovkov434428@direct.myadvocateaurora.org

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1755043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1902782121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6155 GRAND AVE",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600311651",
            "telephone_number": "847-535-7647",
            "fax_number": "847-535-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6155 GRAND AVE",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600311651",
            "telephone_number": "847-535-7647",
            "fax_number": "847-535-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOROVKOV",
        "first_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-13",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209032732",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IL",
            "license": "209032732",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

Verify at the official NPI Registry.