| Burke Medical Group Ltd | |
|
3700 W 203rd Street Suite 310 Olympia Fields IL 60461-1182 | |
| (708) 748-7500 | |
| (708) 748-8090 |
| Full Name | Burke Medical Group Ltd |
|---|---|
| Speciality | Family Medicine |
| Location | 3700 W 203rd Street, Olympia Fields, Illinois |
| Authorized Official Name and Position | Kathryn R Burke (PHYSICAN PRESIDENT) |
| Authorized Official Contact | 7087487500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Burke Medical Group Ltd 3700 W 203rd Street Suite 310 Olympia Fields IL 60461-1182 Ph: (708) 748-7500 | Burke Medical Group Ltd 3700 W 203rd Street Suite 310 Olympia Fields IL 60461-1182 Ph: (708) 748-7500 |
| NPI Number | 1083826713 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 12/29/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083826713 | NPI | - | NPPES |
| 036075518 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 042.616914 (Illinois) | Primary |
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