Provider Demographics
NPI:1891249868
Name:BURMEISTER, ANNETTE C S
Entity Type:Individual
Prefix:MRS
First Name:ANNETTE
Middle Name:C S
Last Name:BURMEISTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 MERRIE LN
Mailing Address - Street 2:
Mailing Address - City:RACINE
Mailing Address - State:WI
Mailing Address - Zip Code:53405-2024
Mailing Address - Country:US
Mailing Address - Phone:847-731-5753
Mailing Address - Fax:847-872-0037
Practice Address - Street 1:3441 SHERIDAN RD
Practice Address - Street 2:
Practice Address - City:ZION
Practice Address - State:IL
Practice Address - Zip Code:60099-3662
Practice Address - Country:US
Practice Address - Phone:847-872-1700
Practice Address - Fax:847-872-0037
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-08
Last Update Date:2016-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251B00000XAgenciesCase Management