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Individual

DR. TRIPTI BURT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD SC

Contact information

Practice address
1345 EDWARDS ST STE 1, MORRIS, IL 60450-1692
(815) 318-5010
(815) 941-6431
Mailing address
1345 EDWARDS ST STE 1, MORRIS, IL 60450-1692
(815) 318-5010
(815) 941-6431

Taxonomy

Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3232017
BLUE CROSS BLUE SHIELD
IL
Enumeration date
11/17/2006
Last updated
07/09/2007
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