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1750345534 NPI number — MARY F. BURKE M.D.

NPI Number: 1750345534
Health Care Provider/Practitioner: MARY F. BURKE M.D.

Information about “1750345534” NPI (MARY F. BURKE M.D.) exists in 1750345534 in HTML format HTML  |  1750345534 in plain Text format TXT  |  1750345534 in PDF (Portable Document Format) PDF  |  1750345534 in an XML format XML  formats.

NPI Number : 1750345534 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1750345534",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BURKE",
    "FirstName": "MARY",
    "MiddleName": "F.",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "M.D.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1040 SIERRA DR",
    "SecondLineMailingAddress": "SUITE 400",
    "MailingAddressCityName": "GREENWOOD",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "46143-7240",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "317-528-4800",
    "MailingAddressFaxNumber": "317-865-8319",
    "FirstLinePracticeLocationAddress": "3700 W 203RD ST",
    "SecondLinePracticeLocationAddress": "STE 201",
    "PracticeLocationAddressCityName": "OLYMPIA FIELDS",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60461-1180",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "708-679-2880",
    "PracticeLocationAddressFaxNumber": "708-503-3295",
    "EnumerationDate": "04/17/2006",
    "LastUpdateDate": "03/19/2021",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "207V00000X",
          "TaxonomyName": "Obstetrics & Gynecology Physician",
          "LicenseNumber": "036076479",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "207VG0400X",
          "TaxonomyName": "Gynecology Physician",
          "LicenseNumber": "036-076479",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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