Healthcare Provider Details

I. General information

NPI: 1285836247
Provider Name (Legal Business Name): BURKHARDT SERVICES LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 ORLAND SQUARE DR SUITE 203
ORLAND PARK IL
60462-6548
US

IV. Provider business mailing address

60 ORLAND SQUARE DR SUITE 203
ORLAND PARK IL
60462-6548
US

V. Phone/Fax

Practice location:
  • Phone: 708-364-7046
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: MR. DALE BURKHARDT
Title or Position: PRACTICE MANAGER
Credential:
Phone: 708-364-7046