Individual
BRANDY BURGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3059 W 26TH ST, CHICAGO, IL 60623-4131
(773) 584-6200
Mailing address
3059 W 26TH ST, CHICAGO, IL 60623-4131
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036164196
IL
Other
Enumeration date
03/22/2020
Last updated
07/19/2023
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