Burke, Shannon Lee

Burke, Shannon Lee is an individual health care provider with primary practice located at 241 Golf Mill Ctr Suite 600, Niles IL 60714-1224. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Burke, Shannon Lee can be contacted via phone (847) 699-8888.

Contact Information

Primary practice address
241 Golf Mill Ctr Suite 600 Niles IL 60714-1224
Fax: (847) 699-8830
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 038008965 Illinois

Profile Details

NPI number 1952480865
LBN Legal business name Burke, Shannon Lee
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Oct 2nd, 2008 - about 16 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 1952480865 NPPES
Illinois Other P00308284 RAILROAD MEDICARE
Illinois Other 01623055 RAILROAD MEDICARE

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