Individual
STEPHENI BOUROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12 HEALTH SERVICES DR, DEKALB, IL 60115-9637
(815) 756-4875
(815) 756-2944
Mailing address
PO BOX 1109, DEKALB, IL 60115-7109
(815) 756-4875
(815) 756-2944
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
041453445
IL
Other
Enumeration date
02/27/2025
Last updated
03/23/2026
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