Individual
SUSAN BURKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 CHARLES J MILLER RD APT 227, MCHENRY, IL 60050-0714
(815) 344-8408
Mailing address
6806 MINUTEMAN CIR, CRYSTAL LAKE, IL 60012-3142
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.006909
IL
Other
Enumeration date
04/16/2015
Last updated
04/16/2015
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