Organization
MICHAEL T. BURNS, PSY.D LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL T. BURNS PSY.D (PRESIDENT)
(815) 455-0044
Entity
Organization
Contact information
Practice address
610 CRYSTAL POINT DR STE 3, CRYSTAL LAKE, IL 60014-1400
(815) 455-0044
(815) 455-0080
Mailing address
610 CRYSTAL POINT DR STE 3, CRYSTAL LAKE, IL 60014-1400
(815) 455-0044
(815) 455-0080
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
071004478
IL
Other
Enumeration date
01/18/2011
Last updated
01/18/2011
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