Borkenhagen, Alyce Riley

Borkenhagen, Alyce Riley is an individual health care provider with primary practice located at 609 Glacier Trl , Roselle IL 60172-1034. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is her primary health care specialty. Borkenhagen, Alyce Riley can be contacted via phone (630) 373-5820.

Contact Information

Primary practice address
609 Glacier Trl Roselle IL 60172-1034
Phone: (630) 373-5820
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 096005677 Illinois

Profile Details

NPI number 1720614548
LBN Legal business name Borkenhagen, Alyce Riley
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2020
Last updated Nov 2nd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720614548 NPPES
Illinois MEDICAID 0926

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