Organization
OLYMPIA FIELDS EYECARE, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON S. BURKE M.D. (OWNER)
(708) 957-1618
Entity
Organization
Contact information
Practice address
19740 GOVERNORS HWY STE 124, FLOSSMOOR, IL 60422-2085
(708) 748-5202
(708) 748-7305
Mailing address
19740 GOVERNORS HWY STE 124, FLOSSMOOR, IL 60422-2085
(708) 957-1618
(708) 748-7305
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
042007134
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036078950
—
IL
Enumeration date
06/30/2005
Last updated
03/09/2018
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