Individual
THERESA BURKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
10024 SKOKIE BLVD STE 211, SKOKIE, IL 60077-9944
(224) 592-0570
Mailing address
10024 SKOKIE BLVD, SUITE 211, SKOKIE, IL 60077
(224) 592-0570
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
166.001134
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033637293
BCBS
IL
Enumeration date
09/10/2017
Last updated
09/13/2017
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