| Burke Behavioral Health, Llc | |
|
3200 Fishback Rd Carbondale IL 62901-6307 | |
| (618) 527-6144 | |
| (618) 529-1693 |
| Full Name | Burke Behavioral Health, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3200 Fishback Rd, Carbondale, Illinois |
| Authorized Official Name and Position | Philip A Burke (SOLE MEMBER) |
| Authorized Official Contact | 6185276144 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Burke Behavioral Health, Llc Po Box 1442 Carbondale IL 62903-1442 Ph: (618) 527-6144 | Burke Behavioral Health, Llc 3200 Fishback Rd Carbondale IL 62901-6307 Ph: (618) 527-6144 |
| NPI Number | 1972780880 |
|---|---|
| Provider Enumeration Date | 01/23/2008 |
| Last Update Date | 04/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972780880 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071007221 (Illinois) | Primary |
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