JENNIFER LAUREN BURKHART

LIBERTYVILLE, IL
NPI1508018136
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy174400000X Specialist
(Licence: IL  056.009713)
Additional Taxonomies174400000X Specialist
(Licence: MI  5201007306)
Enumeration Date2008-10-14
Last Update Date2013-08-27
Business Address
-- JENNIFER LAUREN BURKHART
205 W MAPLE AVE
LIBERTYVILLE, IL 60048-2137
Phone number: 224-500-7797
Mailing Address
-- JENNIFER LAUREN BURKHART
205 W MAPLE AVE
LIBERTYVILLE, IL 60048-2137
Phone number: 224-500-7797