Organization
THOMAS H BURNSTINE, M.D.,S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS H BURNSTINE M.D. (SOLE PROPRIETOR)
(224) 628-1256
Entity
Organization
Contact information
Practice address
755 S MILWAUKEE AVE, SUITE 220, LIBERTYVILLE, IL 60048-3253
(847) 816-0500
(847) 816-3212
Mailing address
PO BOX 187, NORTHBROOK, IL 60065-0187
(224) 628-1256
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
036079533
IL
Other
Enumeration date
08/27/2007
Last updated
08/03/2011
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