(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003506908
Provider Name: CONRAD JAMES BURGHARDT
Entity Type: Individual
Taxonomy Code: 104100000X
Specialty: Social Worker
License Number:
Most Important Dates
Enumeration Date: 05/12/2023
Last Updated: 05/12/2023
Provider Practice Location
400 GREEN BAY RD
KENILWORTH
IL
600431001
Practice Location Phone/Fax
Phone: 8479199096
Fax:
Provider Mailing Location
2025 SHERMAN AVE APT 301
EVANSTON
IL
602013267
Provider Mailing Phone/Fax
Phone: 8477498796
Fax: