Individual
MARTINA BURTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 175TH ST, HAZEL CREST, IL 60429-1604
(773) 571-3445
Mailing address
103 PAXTON AVE, CALUMET CITY, IL 60409-1591
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
041491931
IL
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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