| Burr Ridge Family Practice , Ltd. | |
|
11 Salt Creek Ln Ste 125 Hinsdale IL 60521-2902 | |
| (630) 655-1177 | |
| Not Available |
| Full Name | Burr Ridge Family Practice , Ltd. |
|---|---|
| Speciality | Family Medicine |
| Location | 11 Salt Creek Ln Ste 125, Hinsdale, Illinois |
| Authorized Official Name and Position | Porfira Ciungan (ARSPECIALIST) |
| Authorized Official Contact | 8477359330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Burr Ridge Family Practice , Ltd. 11 Salt Creek Ln Ste 125 Hinsdale IL 60521-2902 Ph: (630) 655-1177 | Burr Ridge Family Practice , Ltd. 11 Salt Creek Ln Ste 125 Hinsdale IL 60521-2902 Ph: (630) 655-1177 |
| NPI Number | 1790891877 |
|---|---|
| Provider Enumeration Date | 08/22/2006 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790891877 | NPI | - | NPPES |
| 2232216 | Other | IL | BC/BS OF IL PROVIDER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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