Individual
DONALD C BURR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
101 N WALNUT ST, PINCKNEYVILLE, IL 62274-1034
(618) 357-2187
Mailing address
PO BOX 289, NASHVILLE, IL 62263-0289
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
IL
2085N0700X
Neuroradiology Physician
—
IL
2085N0904X
Nuclear Radiology Physician
—
IL
2085P0229X
Pediatric Radiology Physician
—
IL
2085R0202X
Diagnostic Radiology Physician
Primary
—
IL
2085R0204X
Vascular & Interventional Radiology Physician
—
IL
2085U0001X
Diagnostic Ultrasound Physician
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04100096
BLUE SHIELD
IL
01
—
07315815
BLUE SHIELD
IL
Enumeration date
08/01/2006
Last updated
04/15/2008
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