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Jonathan Burroughs
NPI 1144148537 · on the registry since 2026
Practice
- Address
- 200 Brightly Way
Glen Carbon, IL 62034 - Phone
- (618) 305-9292
- Clinicians at this address
- 4
Additional practice sites
- 3450 Village Ln, Granite City, IL
- 39 Dorothy Dr, Troy, IL
- 7108 Marine Rd, Edwardsville, IL
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois