Organization
BURNS PHYSICAL THERAPY, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD BURNS (ADMINISTRATOR)
(217) 793-1500
Entity
Organization
Contact information
Practice address
2061 TIMBERBROOK DR, SPRINGFIELD, IL 62702-4626
(217) 793-1500
(217) 793-6102
Mailing address
PO BOX 2333, SPRINGFIELD, IL 62705-2333
(217) 793-1500
(217) 793-6102
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8423652
BLUE CROSS BLUE SHIELD
IL
Enumeration date
08/03/2006
Last updated
08/22/2020
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