MEDICARE: ALLEN DOUGLAS BURT C.R.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	173C00000X	Reflexologist
2	175F00000X	Naturopath

General Provider Information

NPI Number	:	1316219223
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLEN DOUGLAS BURT C.R.

Provider Business Mailing Address
First Line	:	1397 MAIN ST
Second Line	:	SUITE B
City	:	CRETE
State	:	IL
Zip	:	60417-2951
Country	:	US
Telephone Number	:	708-672-4773
Fax Number	:

Provider Business Practice Location Address
First Line	:	1397 MAIN ST
Second Line	:	SUITE B
City	:	CRETE
State	:	IL
Zip	:	60417-2951
Country	:	US
Telephone Number	:	708-672-4773
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2012
Last Update Date	:	02/08/2012

Similar Medicare Providers

1801859137 — OLD TOWN DENTAL ASSOCIATES LTD
Practice Location Address:

1397 MAIN ST
CRETE, IL
60417-2951

Practice Phone: 708-672-5353
Practice Fax:

1013925536 — BARBARA GERK
Practice Location Address:

1397 MAIN ST
CRETE, IL
60417-2951

Practice Phone: 708-367-8050
Practice Fax: 708-367-8051

1679657183 — DR. JOHN F SULLIVAN D.D.S.
Practice Location Address:

1399 MAIN ST
CRETE, IL
60417-2951

Practice Phone: 708-672-6440
Practice Fax: 708-672-6964

1689807505 — DR. CHRISTINE PONG PT, DPT, OCS
Practice Location Address:

1397 MAIN ST
CRETE, IL
60417-2951

Practice Phone: 708-367-8050
Practice Fax:

1134456007 — INDEPENDENCE PHYSICAL THERAPY, PC
Practice Location Address:

1397 MAIN ST
CRETE, IL
60417-2951

Practice Phone: 708-367-8050
Practice Fax: 708-367-8051

1811848070 — STACI EVERETT
Practice Location Address:

24369 LIBERTY ST
CRETE, IL
60417-2000

Practice Phone: 708-522-1072
Practice Fax:

Directions to “ ALLEN DOUGLAS BURT C.R.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.