Provider Demographics
NPI:1013714716
Name:BURGER, KATHYRN ANNE
Entity type:Individual
Prefix:
First Name:KATHYRN
Middle Name:ANNE
Last Name:BURGER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:KATHYRN
Other - Middle Name:
Other - Last Name:LULEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2 SOMMERSET LN
Mailing Address - Street 2:
Mailing Address - City:LINCOLNSHIRE
Mailing Address - State:IL
Mailing Address - Zip Code:60069-3434
Mailing Address - Country:US
Mailing Address - Phone:802-774-8981
Mailing Address - Fax:
Practice Address - Street 1:1190 E WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:GRAYSLAKE
Practice Address - State:IL
Practice Address - Zip Code:60030-7960
Practice Address - Country:US
Practice Address - Phone:847-549-2235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health