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Individual

MARY C BURKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
2850 W 95TH ST, SUITE 103, EVERGREEN PARK, IL 60805-2735
(708) 636-9205
(708) 229-6075
Mailing address
2850 W 95TH ST, SUITE 103, EVERGREEN PARK, IL 60805-2735
(708) 636-9205
(708) 229-6075

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
209008339
IL
367A00000X
Advanced Practice Midwife
Primary
277000832
IL

Other

Enumeration date
10/13/2010
Last updated
12/11/2024
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