Individual
MS. KELLY REBECCA BURGESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CGC
Contact information
Practice address
1725 W HARRISON ST, SUITE 809, CHICAGO, IL 60612-3841
(312) 942-0688
(312) 563-4144
Mailing address
1725 W HARRISON ST, SUITE 809, CHICAGO, IL 60612-3841
(312) 942-0688
(312) 563-4144
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
246.000209
IL
Other
Enumeration date
07/06/2016
Last updated
07/06/2016
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