Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shane Patrick Burke

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1568996320

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

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Peoria, IL

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 number1568996320
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 18, 2017
Last updated in NPPESSeptember 1, 2021
Certification dateSeptember 1, 2021

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