Shane Burke

NPI 1568996320 · on the registry since 2017 · sole proprietor

Practice

Address: 221 Ne Glen Oak Ave
Peoria, IL 61636
Phone: (309) 495-1640
Organisation at this address: Methodist
Walgreen Co
Epss, Llc- Metro Series
Heartland Home Health Care
Peoria Area Women'S Hospitalist
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 175

Registry record

Primary taxonomy: Psychiatry
2084P0800X
Also registered as: 390200000X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-09-01

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