Individual
DIANA M BURDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15929 SOUTH BELL ROAD, HOMER GLEN, IL 60491-6707
(708) 745-5600
(708) 745-5268
Mailing address
1860 PAYSHERE CIR, CHICAGO, IL 60674-0001
(630) 545-6016
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036080974
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036080974
—
IL
Enumeration date
07/17/2006
Last updated
07/21/2022
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