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Contact Information

CAROLYN GUERRA BURNS PSYD INC
200 RAVINIA AVE.
ORLAND PARK, IL60462
 Phone: 708-460-1212
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for CAROLYN GUERRA BURNS PSYD INC

NPI # 1871654665
LBN Legal business name CAROLYN GUERRA BURNS PSYD INC
Authorized official CAROLYN BURNS - (CLINICAL PSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 12/13/2006
Last updated 09/03/2014 - About 12 years ago
Identifiers
IL License # 071-006747
IL License # 071-6747
IL Other 01635321 BLUECROSS BLUE SHIELD
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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