Individual
MS. DESIREE' R BURRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., A.T.C.
Contact information
Practice address
625 ENTERPRISE DR, OAK BROOK, IL 60523-8813
(630) 575-6200
Mailing address
1550 PATTERSON AVE, NORTH AURORA, IL 60542-8965
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096002527
IL
Other
Enumeration date
10/10/2007
Last updated
11/07/2011
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