Individual
PATRICIA A BURGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN, FNP-BC
Contact information
Practice address
1 INGALLS DR, HARVEY, IL 60426-3558
(708) 333-2300
Mailing address
1838 ROBERT CT, BOURBONNAIS, IL 60914-5076
(708) 548-9559
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-015929
IL
Other
Enumeration date
09/14/2017
Last updated
10/05/2017
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