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Individual

DR. SAMUEL A. BURSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4000 N ILLINOIS LN, SUITE C, SWANSEA, IL 62226-1969
(618) 233-8000
(618) 233-8070
Mailing address
4000 N ILLINOIS LN, SUITE C, SWANSEA, IL 62226-1969
(618) 233-8000
(618) 233-8070

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036100615
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036100615
IL
Enumeration date
05/04/2006
Last updated
07/20/2015
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