Amber E. Bourque, PA-C

Physician Assistant · Warren, MI

Individual Active NPI

NPI number 1619546405

Practice location

27560 Hoover Rd
Warren, MI 48093-4505
Phone
(586) 757-6400

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NPI record

NPI
1619546405
Entity type
Individual (Type 1)
Enumeration date
June 24, 2021
Last updated
August 25, 2026
Certified
August 25, 2026
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X 085012001 IL
Physician Assistant 363A00000X 5601010530 MI

Mailing address

12251 S 80TH Ave
Palos Heights, IL 60463-1290
Phone
(708) 923-4000
Fax
(708) 923-0000

About Amber Bourque

Amber E. Bourque, PA-C is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 27560 Hoover Rd, Warren, MI 48093-4505. The NPI number 1619546405 was assigned on June 24, 2021 and the record was last updated on August 25, 2026.

Amber Bourque lists 2 licenses in the registry: #085012001 (IL) for Physician Assistant; #5601010530 (MI) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Amber E. Bourque, PA-C?

The NPI number is 1619546405.

What is the phone number of Amber Bourque?

The phone number listed for the practice location is (586) 757-6400.

Where is Amber Bourque located?

27560 Hoover Rd, Warren, MI 48093-4505.

What is the taxonomy code for Amber Bourque?

The primary taxonomy code is 363A00000X – Physician Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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