Individual
DR. CHAD MARTIN BURMEISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2727 N OAKLAND AVE, SUITE 104, DECATUR, IL 62526
(217) 875-4555
(217) 875-4408
Mailing address
758 SPYGLASS CT, FORSYTH, IL 62535
(217) 876-9334
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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