Doctor Name: | MR. AUGUSTUS THEODORE BURKE |
NPI Number: | 1811051410 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | |
Business Practice Address: | 755 Skokie Blvd Northbrook, IL - 600622805 |
Business Phone Number: | 8472727426 |
Business Fax Number: | 8474126440 |
Mailing Address: | 915 Cedar Ln, NORTHBROOK |
State: | IL |
Postal Code: | 600623539 |
Phone Number: | 8472727273 |
Fax Number: | |
NPI Enumeration Date: | 12/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |