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Individual
MRS. SHANNON LEE BURKE
Active
Individual
MRS. SHANNON LEE BURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038008965
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01623055
BCBS OF IL
IL
01
—
P00308284
RAILROAD MEDICARE
IL
Enumeration date
11/02/2006
Last updated
10/02/2008
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