Mrs Shirley Gordon Burnside, LCSW is a
Marriage & Family Therapist based in Elmhurst, Illinois. Mrs Shirley Gordon Burnside is licensed to practice in Illinois (license number ) and her current practice location is
116 S. York Road, Suite 201, Elmhurst, Illinois. She can be reached at her office (for appointments etc.) via phone at
(630) 941-9123.
NPI number for Mrs Shirley Gordon Burnside is 1528181419 and her current mailing address is 371 N. Ridgeland, Elmhurst, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1528181419.
Healthcare Provider's Profile
Full Name | Mrs Shirley Gordon Burnside |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 116 S. York Road, Suite 201, Elmhurst, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1528181419
- Provider Enumeration Date: 04/07/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Shirley Gordon Burnside such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528181419 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Shirley Gordon Burnside is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Shirley Gordon Burnside, LCSW 371 N. Ridgeland, Elmhurst, IL 60126 Ph: (639) 941-9123 | Mrs Shirley Gordon Burnside, LCSW 116 S. York Road, Suite 201, Elmhurst, IL 60126 Ph: (630) 941-9123 |
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