Bourke, Nancy D

Bourke, Nancy D is an sole proprietor health care provider with primary practice located at 34 W Grand Ave , Fox Lake IL 60020-1224. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Bourke, Nancy D can be contacted via phone (847) 322-2975.

Contact Information

Primary practice address
34 W Grand Ave Fox Lake IL 60020-1224
Phone: (847) 322-2975
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 178.014635 Illinois

Profile Details

NPI number 1992330278
LBN Legal business name Bourke, Nancy D
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2020
Last updated Mar 7th, 2020 - about 6 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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