Burton, Carolyn

Burton, Carolyn is an sole proprietor health care provider with primary practice located at 1 E Ogden Ave , Westmont IL 60559-1339. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Burton, Carolyn can be contacted via phone (708) 257-7290.

Contact Information

Primary practice address
1 E Ogden Ave Westmont IL 60559-1339
Phone: (708) 257-7290
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051036395 Illinois

Profile Details

NPI number 1114207669
LBN Legal business name Burton, Carolyn
Credentials RPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 27th, 2011
Last updated Aug 27th, 2011 - about 14 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 1114207669 NPPES
Illinois MEDICAID 361924025256

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