Individual
MR. JARVIS L BURKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
1 E ERIE ST STE 525-4973, CHICAGO, IL 60611-2740
(773) 413-0105
Mailing address
1 E ERIE ST STE 52549731, CHICAGO, IL 60611-2740
(773) 413-0105
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150110256
IL
Other
Enumeration date
07/19/2024
Last updated
07/19/2024
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