Individual
DR. MARK W BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
11914 S ROUTE 59, UNIT 106, PLAINFIELD, IL 60585-5110
(815) 915-4047
Mailing address
2194 KEMMERER LN, BOLINGBROOK, IL 60490-5037
(773) 425-0732
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010336
IL
Other
Enumeration date
12/03/2010
Last updated
05/21/2015
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