Alexandra Ann Burgoon
Nurse Practitioner - Neonatal
225 E Chicago Ave
Chicago
, Illinois 60611-2991
Alexandra Ann Burgoon
Nurse Practitioner - Neonatal
225 E Chicago Ave
Chicago
, Illinois 60611-2991
(616) 540-5514
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Alexandra Ann Burgoon
- 411 W Fullerton Pkwy Apt 1003w
- Chicago, IL
- Zip : 60614-9117
- Phone : (616) 540-5514
Second Address
- Alexandra Ann Burgoon
- 225 E Chicago Ave
- Chicago, IL
- Zip : 60611-2991
- Phone : (800) 543-7362
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | 209.016405 | IL |
National Provider Identifier
| NPI | 1053838953 |
|---|---|
| Provider Name | Alexandra Ann Burgoon |
| First Address | Chicago, IL 60614-9117 |
| Second Address | Chicago, IL 60611-2991 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/08/2017 |
| Last Update Date | 17/03/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.