Burke, Robert C

Burke, Robert C is an individual health care provider with primary practice located at 3050 Montvale Dr Ste A , Springfield IL 62704-6924. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Burke, Robert C can be contacted via phone (217) 726-8096.

Contact Information

Primary practice address
3050 Montvale Dr Ste A Springfield IL 62704-6924
Phone: (217) 726-8096
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2009017531 Missouri
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01055220A Indiana

Profile Details

NPI number 1124074885
LBN Legal business name Burke, Robert C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Jun 29th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124074885 NPPES
Indiana MEDICAID 200355400

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