| Robert W. Burton, Md, Inc. | |
|
1274 Tower Rd Winnetka IL 60093-1638 | |
| (312) 203-3253 | |
| (847) 595-8353 |
| Full Name | Robert W. Burton, Md, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 1274 Tower Rd, Winnetka, Illinois |
| Authorized Official Name and Position | Robert W. Burton (PRESIDENT) |
| Authorized Official Contact | 3122033253 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert W. Burton, Md, Inc. 1274 Tower Rd Winnetka IL 60093-1638 Ph: (312) 203-3253 | Robert W. Burton, Md, Inc. 1274 Tower Rd Winnetka IL 60093-1638 Ph: (312) 203-3253 |
| NPI Number | 1629418132 |
|---|---|
| Provider Enumeration Date | 06/28/2013 |
| Last Update Date | 04/18/2023 |
| Certification Date | 04/18/2023 |
| Medicare PECOS PAC ID | 2466694948 |
|---|---|
| Medicare Enrollment ID | O20130813000351 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629418132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 036072613 (Illinois) | Primary |
| Provider Name | Robert W Burton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831312131 PECOS PAC ID: 0941109342 Enrollment ID: I20040105000754 |
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