Provider Demographics
NPI:1386737005
Name:BURTON PLACEMENT SERVICES, INC
Entity type:Organization
Organization Name:BURTON PLACEMENT SERVICES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT ESSI/BURTON PLACEMEN
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHEETS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:815-626-8168
Mailing Address - Street 1:3917 E LINCOLNWAY
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:IL
Mailing Address - Zip Code:61081-9740
Mailing Address - Country:US
Mailing Address - Phone:815-625-7764
Mailing Address - Fax:815-625-9807
Practice Address - Street 1:3917 E LINCOLNWAY
Practice Address - Street 2:
Practice Address - City:STERLING
Practice Address - State:IL
Practice Address - Zip Code:61081-9740
Practice Address - Country:US
Practice Address - Phone:815-625-7764
Practice Address - Fax:815-625-9807
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1011011251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
50147OtherBLUE CROSS/ BLUE SHIELD
IL=========001Medicaid
IL561000Medicare ID - Type Unspecified