Healthcare Provider Details

I. General information

NPI: 1457734287
Provider Name (Legal Business Name): CAROLINE C BURKE A.M., L.S.W.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2015
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3047 N LINCOLN AVE SUITE 400
CHICAGO IL
60657-4999
US

IV. Provider business mailing address

1728 N WOOD ST STE 400
CHICAGO IL
60622-1359
US

V. Phone/Fax

Practice location:
  • Phone: 773-494-5505
  • Fax: 773-857-1164
Mailing address:
  • Phone: 847-420-3256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number150.014740
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number1842146
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: