Individual
MRS. KELLY A BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
550 W OGDEN AVE, HINSDALE, IL 60521-3186
(630) 323-6116
(630) 323-5309
Mailing address
550 W OGDEN AVE, HINSDALE, IL 60521-3186
(630) 323-6116
(630) 323-5309
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003487
IL
Other
Enumeration date
07/02/2009
Last updated
11/04/2011
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