Provider Demographics
NPI:1962603860
Name:BURLISON, STEVEN CHARLES (DC)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:CHARLES
Last Name:BURLISON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1113 S MILWAUKEE AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LIBERTYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60048-3758
Mailing Address - Country:US
Mailing Address - Phone:847-680-9500
Mailing Address - Fax:847-680-7975
Practice Address - Street 1:1791 COLUMBIA AVE W
Practice Address - Street 2:SUITE G3
Practice Address - City:BATTLE CREEK
Practice Address - State:MI
Practice Address - Zip Code:49015-2856
Practice Address - Country:US
Practice Address - Phone:269-565-3002
Practice Address - Fax:269-565-3004
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2009-03-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI2301009347111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor