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NPI Code Detail

MEDICARE: JENNIFER BURKE

MEDICARE:   JENNIFER  BURKE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
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General Provider Information

NPI Number : 1033833603
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER BURKE
Provider Business Mailing Address
First Line : 7640 S MORGAN ST
Second Line :
City : CHICAGO
State : IL
Zip : 60620-2828
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7640 S MORGAN ST
Second Line :
City : CHICAGO
State : IL
Zip : 60620-2828
Country : US
Telephone Number : 773-996-4596
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2022
Last Update Date : 04/23/2026

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Directions to “ JENNIFER BURKE ” Practice Location

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