Individual
MR. JEFFREY A. BURK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
2814 GREENFIELD RD, BLOOMINGTON, IL 61704-8421
(309) 662-2632
(309) 662-7852
Mailing address
2814 GREENFIELD RD, BLOOMINGTON, IL 61704-8421
(309) 662-2632
(309) 662-7852
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
TR00196
MO
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
10/25/2005
Last updated
07/08/2007
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