Burke, Kathryn R

Burke, Kathryn R is an individual health care provider with primary practice located at 3700 W 203Rd St Ste 204 , Olympia Fields IL 60461-1182. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Burke, Kathryn R can be contacted via phone (700) 874-8750.

Contact Information

Primary practice address
3700 W 203Rd St Ste 204 Olympia Fields IL 60461-1182
Phone: (700) 874-8750
Fax: (708) 503-3852
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 036075518 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036075518 Illinois

Profile Details

NPI number 1316943848
LBN Legal business name Burke, Kathryn R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated May 18th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316943848 NPPES
Illinois MEDICAID 036075518
Illinois Other F400311566
Illinois Other 534220

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