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Individual
MICHELLE M BURK
Active
Individual
MICHELLE M BURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-107561
IL
207R00000X
Internal Medicine Physician
Primary
036-107561
IL
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
036107561
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036107561
—
IL
05
—
1093817355
—
MO
Enumeration date
09/05/2006
Last updated
06/12/2025
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