Burda, Diana M

Burda, Diana M is an individual health care provider with primary practice located at 15929 South Bell Road , Homer Glen IL 60491-6707. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Burda, Diana M can be contacted via phone (708) 745-5600.

Contact Information

Primary practice address
15929 South Bell Road Homer Glen IL 60491-6707
Phone: (708) 745-5600
Fax: (708) 745-5268
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036080974 Illinois

Profile Details

NPI number 1083631543
LBN Legal business name Burda, Diana M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083631543 NPPES
Illinois MEDICAID 036080974

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