| Michael T. Burns, Psy.d Ltd | |
|
610 Crystal Point Dr Ste 3 Crystal Lake IL 60014-1400 | |
| (815) 455-0044 | |
| (815) 455-0080 |
| Full Name | Michael T. Burns, Psy.d Ltd |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 610 Crystal Point Dr Ste 3, Crystal Lake, Illinois |
| Authorized Official Name and Position | Michael T. Burns (PRESIDENT) |
| Authorized Official Contact | 8154550044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael T. Burns, Psy.d Ltd 610 Crystal Point Dr Ste 3 Crystal Lake IL 60014-1400 Ph: (815) 455-0044 | Michael T. Burns, Psy.d Ltd 610 Crystal Point Dr Ste 3 Crystal Lake IL 60014-1400 Ph: (815) 455-0044 |
| NPI Number | 1578868808 |
|---|---|
| Provider Enumeration Date | 01/18/2011 |
| Last Update Date | 01/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578868808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 071004478 (Illinois) | Primary |
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