NPI 1033348735

Kelly a Burgess, PAC

Practitioner Physician Assistant Hinsdale, IL

Practice location

Address: 550 W Ogden Ave, Hinsdale, IL 60521-3186
Phone: (630) 323-6116
Fax: (630) 323-5309

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 085003487 (IL)

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Registry record

NPI: 1033348735
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jul 2009
Record last updated: 4 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.