Burkhardt, Sandra A
Burkhardt, Sandra A is an individual health care provider with primary practice located at 60 Orland Square Dr Suite 203, Orland Park IL 60462-6548. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is her primary health care specialty. Burkhardt, Sandra A can be contacted via phone (708) 364-7046.Contact Information
Primary practice address
60 Orland Square Dr Suite 203
Orland Park IL 60462-6548
Phone: (708) 364-7046
Fax: (708) 364-7048
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071004565 | Illinois |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 071004565 | Illinois |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 20042496A | Indiana |
Profile Details
| NPI number | 1376612374 |
|---|---|
| LBN Legal business name | Burkhardt, Sandra A |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 6th, 2006 |
| Last updated | Jul 20th, 2012 - about 14 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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