Individual
MR. AUGUSTUS THEODORE BURKE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
755 SKOKIE BLVD, NORTHBROOK, IL 60062-2805
(847) 272-7426
(847) 412-6440
Mailing address
915 CEDAR LN, NORTHBROOK, IL 60062-3539
(847) 272-7273
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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