Organization
DIANA M. BURDA, MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA M BURDA MD (OWNER/PHYSICIAN)
(708) 745-5600
Entity
Organization
Contact information
Practice address
15929 S BELL RD, HOMER GLEN, IL 60491-6707
(708) 745-5600
(708) 745-5268
Mailing address
12626 LAKEVIEW DR, ORLAND PARK, IL 60467
(708) 301-7924
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
07/13/2006
Last updated
04/26/2012
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