Organization
BURKE DERMATOLOGY SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM SEAN BURKE MD (PRESIDENT)
(720) 836-9981
Entity
Organization
Contact information
Practice address
2942 EVERGREEN PKWY STE 100, EVERGREEN, CO 80439-7909
(720) 836-9981
(720) 386-9132
Mailing address
2942 EVERGREEN PKWY STE 100, EVERGREEN, CO 80439-7909
(720) 836-9981
(720) 386-9132
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
036122682
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3932097
BLUE CROSS/BLUE SHIELD OF ILLINOIS
IL
Enumeration date
03/20/2009
Last updated
05/26/2025
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