Individual
BARBARA FRANCES BURRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
650 DAKOTA ST STE A, CRYSTAL LAKE, IL 60012
(815) 455-6000
(815) 356-3914
Mailing address
650 DAKOTA ST STE A, CRYSTAL LAKE, IL 60012-3744
(815) 455-6000
(815) 356-3914
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036103946
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036103946
STATE LICENSE
IL
Enumeration date
09/20/2006
Last updated
10/19/2018
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