Organization
AVERY INTEGRATIVE WOMEN'S HEALTH LLC
Active
Other names
Avery Integrative Women's Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KAY C BURKE APRN, CNM, WHNP (PRESIDENT)
(708) 203-7455
Entity
Organization
Contact information
Practice address
16325 HARLEM AVE STE 260, TINLEY PARK, IL 60477-1688
(708) 203-7455
(708) 556-2316
Mailing address
16325 HARLEM AVE STE 260, TINLEY PARK, IL 60477-1688
(708) 203-7455
(708) 556-2316
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
209008339
—
IL
Enumeration date
09/13/2021
Last updated
09/13/2021
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