Most Relevant Information
Provider Data
| NPI Number: | 1003426149 |
| Provider Name: | JOSEPHINE MCCORMACK NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 209020741 |
Most Important Dates
| Enumeration Date: | 08/04/2020 |
| Last Updated: | 08/04/2020 |
Provider Practice Location
2923 N CALIFORNIA AVE STE 220
CHICAGO
IL
606187702
Practice Location Phone/Fax
| Phone: | 8882206432 |
| Fax: |
Provider Mailing Location
901 MCCLINTOCK DR STE 202
BURR RIDGE
IL
605270872
Provider Mailing Phone/Fax
| Phone: | 6306556748 |
| Fax: | 6307344715 |