Individual provider · Type 1 NPI
Stepheni Bourov, RN
Addiction (Substance Use Disorder) Registered Nurse · Dekalb, IL
NPI number
1700683679
Active
Practice location
12 Health Services Dr
Dekalb, IL 60115-9637
Fax (815) 756-2944
Mailing address
PO Box 1109
Dekalb, IL 60115-7109
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse Primary | 163WA0400X | 041453445 (IL) |
Addiction (Substance Use Disorder) Registered Nurse: Definition to come...
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About NPI 1700683679
Stepheni Bourov, RN's National Provider Identifier is 1700683679, issued on Feb 27, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in Dekalb, IL. The record was last updated on Mar 23, 2026.