Provider Demographics
NPI:1881721207
Name:DE OCAMPO, MARIA LOURDES EBREO (RN CWOCN APN)
Entity type:Individual
Prefix:MRS
First Name:MARIA LOURDES
Middle Name:EBREO
Last Name:DE OCAMPO
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Gender:F
Credentials:RN CWOCN APN
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Mailing Address - Street 1:5828 RAINTREE LN
Mailing Address - Street 2:
Mailing Address - City:WESTMONT
Mailing Address - State:IL
Mailing Address - Zip Code:60559-2126
Mailing Address - Country:US
Mailing Address - Phone:773-702-9371
Mailing Address - Fax:773-834-1779
Practice Address - Street 1:5841 S MARYLAND AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60637-1447
Practice Address - Country:US
Practice Address - Phone:773-702-9371
Practice Address - Fax:773-834-1779
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
IL209003240364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist