Kathryn R Burke
Family Doctor Family Doctor - Geriatric Medicine
3700 W 203rd St Ste 310
Olympia Fields
, Illinois 60461-1182
Kathryn R Burke
Family Doctor Family Doctor - Geriatric Medicine
3700 W 203rd St Ste 310
Olympia Fields
, Illinois 60461-1182
(317) 528-4800
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About
Features
Specialties
- Family Doctor
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Kathryn R Burke
- 35318 Eagle Way
- Chicago, IL
- Zip : 60678-1353
- Phone : (317) 528-4800
Second Address
- Kathryn R Burke
- 3700 W 203rd St Ste 310
- Olympia Fields, IL
- Zip : 60461-1182
- Fax : (708) 748-8090
- Phone : (700) 874-8750
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 036075518 | IL |
| N | 207QG0300X | Family Doctor - Geriatric Medicine | 036075518 | IL |
National Provider Identifier
| NPI | 1316943848 |
|---|---|
| Provider Name | Kathryn R Burke |
| First Address | Chicago, IL 60678-1353 |
| Second Address | Olympia Fields, IL 60461-1182 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/06/2005 |
| Last Update Date | 14/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 036075518 | (05) | IL |
| 534220 | GROUP MEDICARE NUMBER (01) | IL |
| D16659 | (02) | IL |
| F400311566 | MEDICARE IL PTAN (01) | IL |
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.