Donoghue, Courtney

Donoghue, Courtney is an individual health care provider with primary practice located at 4405 Weaver Pkwy , Warrenville IL 60555-3269. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Donoghue, Courtney can be contacted via phone (630) 352-5350.

Contact Information

Primary practice address
4405 Weaver Pkwy Warrenville IL 60555-3269
Phone: (630) 352-5350
Fax: (630) 352-5349
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.001814

Profile Details

NPI number 1174718498
LBN Legal business name Donoghue, Courtney
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2007
Last updated May 9th, 2019 - about 5 years 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 1174718498 NPPES
Illinois Other 085.001814 STATE LICENSE

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