Individual
MALIA CAROL BURDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 W CONGRESS PKWY, CHICAGO, IL 60612-3809
(312) 942-4200
Mailing address
1717 W CONGRESS PKWY, CHICAGO, IL 60612-3809
(312) 942-4200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085011253
IL
Other
Enumeration date
12/21/2023
Last updated
04/28/2025
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