Shane Patrick Burke
Shane Patrick Burke is a Student in an Organized Health Care Education/Training Program in Peoria, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
Peoria, ILNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X · Licence 0.36.150948 (IL) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1568996320 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 18, 2017 |
| Last updated in NPPES | September 1, 2021 |
| Certification date | September 1, 2021 |
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