Search › Illinois › 183500000X

Peyton Burke

NPI 1154800613 · on the registry since 2018

Practice

Address
763 E 162nd St
South Holland, IL 60473
Phone
(708) 339-0453
Fax
(708) 339-1554
Organisation at this address
American Drug Stores Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-08-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois