Individual
TIMOTHY BURKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 W WASHINGTON AVE, LAKE BLUFF, IL 60044-1818
(847) 234-9405
Mailing address
350 W WASHINGTON AVE, LAKE BLUFF, IL 60044-1818
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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