NANCY D BOURKE
NPI 1992330278
Counselor - Professional in Fox Lake, IL

Q: What is Nancy Bourke's NPI number?

The NPI number for Nancy Bourke is 1992330278. It was assigned to this individual provider in the NPPES registry on March 7, 2020.

Q: What is Nancy Bourke's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Nancy Bourke was last updated on March 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 07, 2020PECOS Enrolled

34 W GRAND AVE, FOX LAKE, IL 60020(847) 322-2975 Get Directions Write a Review

NPPES record last updated: March 7, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Nancy D Bourke NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NANCY D BOURKE (NPI 1992330278) is an individual professional provider in Fox Lake, Illinois, licensed in Illinois (178.014635) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992330278

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameNANCY D BOURKE

Location Address34 W GRAND AVEFox Lake, IL 60020-1224

Mailing Address34 W Grand AveFox Lake, IL 60020-1224 · (847) 322-2975

Phone(847) 322-2975

Sole ProprietorYes

Enumeration DateMarch 7, 2020

NPPES CertifiedMarch 7, 2020

✔ NPI 1992330278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in IL · 178.014635

34 W GRAND AVE, Fox Lake, IL 60020

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nancy D Bourke is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nancy Bourke's NPI number?

The NPI number for Nancy Bourke is 1992330278. It was assigned to this individual provider in the NPPES registry on March 7, 2020.

Where is Nancy Bourke located?

Nancy Bourke practices at 34 W Grand Ave, Fox Lake, IL 60020. The listed phone number is (847) 322-2975.

What is Nancy Bourke's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Nancy Bourke enrolled in Medicare?

Yes. Nancy Bourke is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nancy Bourke was last updated on March 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.