HEATHER BORGARDT
NPI 1679051114
Registered Nurse - Addiction (Substance Use Disorder) in Rockford, IL
Active since August 06, 2018
About Heather Borgardt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEATHER BORGARDT (NPI 1679051114) is an individual addiction (substance use disorder) provider in Rockford, Illinois, licensed in Illinois (041455214) and active in the NPI registry since August 2018.
NPPES Registry Identity
NPI1679051114
Entity TypeIndividualFemale
Primary Taxonomy163WA0400X
Provider Legal NameHEATHER BORGARDT
Location Address2704 N MAIN STRockford, IL 61103-3112
Mailing Address1021 N Mulford RdRockford, IL 61107-3877
Phone(815) 968-9300
Sole ProprietorNo
Enumeration DateAugust 6, 2018
✔ NPI 1679051114 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Addiction (Substance Use Disorder)Nursing Service Providers
Taxonomy Code163WA0400X
License✔ Licensed in IL · 041455214
2704 N MAIN ST, Rockford, IL 61103
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Clinic/Center (Rehabilitation, Substance Use Disorder)
2704 N MAIN ST
ROCKFORD, IL 61103
ROCKFORD, IL 61103
Counselor (Addiction (Substance Use Disorder))
2704 N MAIN ST
ROCKFORD, IL 61103
ROCKFORD, IL 61103
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679051114, enumerated as an "individual" on August 06, 2018.
The provider is located at 2704 N MAIN ST ROCKFORD, IL 61103 and the phone number is (815) 968-9300.
Registered Nurse with taxonomy code 163WA0400X and a focus in Addiction (Substance Use Disorder).
