Burke, Erin O'Connell

Burke, Erin O'Connell is an individual health care provider with primary practice located at 2100 Clearwater Dr , Oak Brook IL 60523-1927. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Burke, Erin O'Connell can be contacted via phone (630) 607-1000.

Contact Information

Primary practice address
2100 Clearwater Dr Oak Brook IL 60523-1927
Fax: (630) 607-1002
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209023433 Illinois

Profile Details

NPI number 1215644869
LBN Legal business name Burke, Erin O'Connell
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2022
Last updated Apr 4th, 2024 - about 7 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215644869 NPPES
Illinois Other 1164567236 BCBS
Illinois MEDICAID 1164567236 BCBS

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