Provider Demographics
NPI:1497135636
Name:O'KEEFE, HOPE (APN-C)
Entity Type:Individual
Prefix:MS
First Name:HOPE
Middle Name:
Last Name:O'KEEFE
Suffix:
Gender:F
Credentials:APN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3986 W 7940N RD
Mailing Address - Street 2:
Mailing Address - City:MANTENO
Mailing Address - State:IL
Mailing Address - Zip Code:60950-3465
Mailing Address - Country:US
Mailing Address - Phone:815-671-2730
Mailing Address - Fax:443-213-6961
Practice Address - Street 1:36400 ESSEX RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:IL
Practice Address - Zip Code:60481-9500
Practice Address - Country:US
Practice Address - Phone:815-458-7827
Practice Address - Fax:443-213-6961
Is Sole Proprietor?:No
Enumeration Date:2015-06-03
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209-012830363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health