Organization
PETTY, BIELIK & BURKE ORTHODONTICS, P.C.
Active
Organization
PETTY, BIELIK & BURKE ORTHODONTICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C. BURKE D.D.S., M.S. (OWNER)
(815) 469-7150
Entity
Organization
Contact information
Practice address
10343 W LINCOLN HWY, FRANKFORT, IL 60423-1280
(815) 469-7150
(815) 469-7152
Mailing address
10343 W LINCOLN HWY, FRANKFORT, IL 60423-1280
(815) 469-7150
(815) 469-7152
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
021001977
IL
Other
Enumeration date
01/07/2009
Last updated
01/07/2009
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