Individual
DR. CHANNING ALEXANDRA BURKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
820 S WOOD ST, M/C 808, OBSTETRICS & GYNECOLOGY, CHICAGO, IL 60612-4325
(312) 996-7006
(312) 996-4238
Mailing address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036140544
IL
Other
Enumeration date
07/10/2012
Last updated
12/30/2020
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