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General NPI Number Information
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NPI Number | 1750345534
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Entity Type | Individual
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Provider Name | MARY F. BURKE M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/17/2006
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Last Update Date | 03/19/2021
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Provider Practice Location Address
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Address Line | 3700 W 203RD ST STE 201
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City | OLYMPIA FIELDS
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State | IL
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Zip | 60461-1180
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Country | US
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Telephone | 708-679-2880
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Fax | 708-503-3295
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Provider Business Mailing Address
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Address Line | 1040 SIERRA DR SUITE 400
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City | GREENWOOD
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State | IN
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Zip | 46143-7240
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Country | US
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Telephone | 317-528-4800
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Fax | 317-865-8319
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 036076479
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 036-076479
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License Number State | IL
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