14D2105948 CLIA NUMBER - RENEE BURKE MD AESTHETIC AND PLASTIC SURGERY

Laboratory Demographics

CLIA Number: 14D2105948

Facility Name: RENEE BURKE MD AESTHETIC AND PLASTIC SURGERY

Facility Address:
18-3 E DUNDEE RD, STE 200
BARRINGTON, IL
ZIP 60010
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Facility Phone Number: (847) 382-4400

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

NPI Number: 1720422611

Taxonomy: 174400000X - Specialist
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

CLIA Record

Field Name	Field Value
CLIA Number	14D2105948
LAB Type	PHYSICIAN OFFICE
Facility Name	RENEE BURKE MD AESTHETIC AND PLASTIC SURGERY
Street	18-3 E DUNDEE RD, STE 200
City	BARRINGTON
State	IL
ZIP	60010
Phone	(847) 382-4400

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This page was last updated on: 5/11/2023