Colin Burroughs, PA-C
Physician Assistant in Lake Bluff, IL. Individual provider (NPI-1).
NPI number1821179367
StatusActive
Last updated in NPPESMar 29, 2023
Details
- NPI
- 1821179367
- Entity type
- Individual (NPI-1)
- Name
- Colin Burroughs
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 18, 2006
- Certification date
- Mar 29, 2023
- Last updated
- Mar 29, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 1052848 | NE | Yes |
Practice location
925 Sherwood DrLake Bluff, IL 60044-2203
Phone 847-234-1177 · Fax 847-234-1875
Mailing address
925 Sherwood DrLake Bluff, IL 60044-2203
Phone 847-234-1177 · Fax 847-234-1875
Other practice locations
1850 W Winchester Rd Ste 106
Libertyville, IL 60048-5355
Libertyville, IL 60048-5355
Phone 847-234-1177 · Fax 847-234-1875
3612 Lake Ave Ste 2b
Wilmette, IL 60091-1000
Wilmette, IL 60091-1000
Phone 847-256-9400 · Fax 847-853-9847
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Other Physician Assistant providers in Lake Bluff, IL
- Christina Avilina, PANPI 1316454556
- Kristel E Bauer, PA-CNPI 1508003997
- Alexis Bertumen Navares, PHYSICIAN ASSISTANTNPI 1265606131
- Tova PriceNPI 1316448939
- Alexa Krystine Selimos, PA-CNPI 1922897701
All 6 Physician Assistant providers in Lake Bluff · All 413 providers in Lake Bluff
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