Search › Illinois › 163W00000X
Jacquelyn Burks
NPI 1891257218 · on the registry since 2019
Practice
- Address
- 722 Lenox Ave
Bolingbrook, IL 60490 - Phone
- (630) 862-6331
Registry record
- Primary taxonomy
- 163W00000X
163W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-04-03
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