Conrad James Burghardt

NPI #1003506908 in Kenilworth, Illinois

Provider Information

NPI Number: 1003506908
Entity Type: Individual
Name: Conrad James Burghardt
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Social Worker
Enumeration Date: May 12, 2023
Last Updated: May 12, 2023

Practice Location

Address: 400 GREEN BAY RD
City: Kenilworth
State: Illinois
ZIP Code: 60043-1001
Phone: (847) 919-9096

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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