Nancy D Bourke Valid NPI
Individual provider · Professional Counselor · Fox Lake, IL
- NPI
- 1992330278
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- 178.014635 (IL)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2020-03-07
- Last updated
- 2020-03-07
Practice location
34 W Grand Ave
Fox Lake, IL 60020-1224
(847) 322-2975