Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shane Patrick Burke

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1568996320

Shane Patrick Burke is a Student in an Organized Health Care Education/Training Program in Peoria, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2017
Specialties on file
2

Practice location Address checks out

221 NE Glen Oak Ave
Peoria, IL 61636-0001
Phone: (309) 495-1640
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 0.36.150948 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1568996320
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 18, 2017
Last updated in NPPESSeptember 1, 2021
Certification dateSeptember 1, 2021
Mailing address900 Main St, Suite 720, Peoria, IL 61602-1005

Other providers in Peoria