Individual
DR. STEPHANIE BURROWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 779-5000
Mailing address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 779-5000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
36274
IA
207P00000X
Emergency Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03063
BCWELLMARK TP
—
05
—
036113408001
—
IL
05
—
0594408
—
IA
05
—
1594408
—
IA
01
—
92039
BCWELLMARK WEST
—
01
—
92053
BCWELLMARK 7TH
—
01
—
IA0101
JOHN DEERE TP
—
01
—
IL0181
JOHN DEERE ILLINOIS
—
01
—
P00272204
RR MEDICARE
—
Enumeration date
02/17/2006
Last updated
10/20/2007
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