Individual
MS. CHERYL DENISE BURR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
220 FORT JESSE ROAD, SUITE 250, NORMAL, IL 61761
(309) 454-1616
(309) 454-5167
Mailing address
2110 FOX DRIVE, SUITE B, CHAMPAIGN, IL 61820
(217) 355-1616
(217) 355-2620
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.013049
IL
225100000X
Physical Therapist
070013049
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113326
HEALTHLINK PROV ID
—
01
—
203
BLUE CROSS PROV ID
IL
01
—
4117
HAMP PROVIDER ID
IL
01
—
7216
PERSONALCARE PROV ID
—
Enumeration date
03/22/2007
Last updated
04/02/2009
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