Nancy D Bourke

NPI #1992330278 in Fox Lake, Illinois

Provider Information

NPI Number: 1992330278
Entity Type: Individual
Name: Nancy D Bourke
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Enumeration Date: Mar 7, 2020
Last Updated: Mar 7, 2020

Practice Location

Address: 34 W GRAND AVE
City: Fox Lake
State: Illinois
ZIP Code: 60020-1224
Phone: (847) 322-2975

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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