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Contact Information

DEIRDRE J BURRELL, ACUPUNCTURIST, MSOM
11113 S WESTERN AVE
CHICAGO, IL60643-3907
 Phone: 773-416-5877
 Fax: 773-239-0378
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for DEIRDRE J BURRELL · (Female)

NPI Number 1134367659
Status Active
Credentials ACUPUNCTURIST, MSOM
Entity Individual
Enumeration date 01/22/2009
Last updated 02/19/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 198000074
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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