Individual
MS. DEIRDRE JERRESHA BURRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACUPUNCTURIST, MSOM
Contact information
Practice address
11113 S WESTERN AVE, CHICAGO, IL 60643-3907
(773) 416-5877
(773) 239-0378
Mailing address
11425 S ELIZABETH ST, CHICAGO, IL 60643-4431
(773) 416-5877
(773) 239-0378
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198000074
IL
Other
Enumeration date
01/22/2009
Last updated
02/19/2009
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