Individual provider · NPI-1

Dr. Jean Ellen Burr, M.D.

Pediatrics, Adolescent Medicine · Park Ridge, IL

NPI number1881733541
StatusActive
Last updated in NPPESSep 9, 2024

Details

NPI
1881733541
Entity type
Individual (NPI-1)
Name
Dr. Jean Ellen Burr
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Feb 6, 2007
Certification date
Sep 9, 2024
Last updated
Sep 9, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2080A0000X Pediatrics, Adolescent Medicine036170699ILYes
208000000X Pediatrics01055638AIN
2080A0000X Pediatrics, Adolescent Medicine01055638AIN

Other names

  • Jean Ellen Wardrip (Former Name)

Practice location

1675 Dempster St
Park Ridge, IL 60068-1110

Phone 847-318-9300 · Fax 847-723-9583

Mailing address

29373 Network Pl
Chicago, IL 60673-0001

Phone 847-390-5900

Other practice locations

9040 Jackson Ave Madigan Army Medical Center
Tacoma, WA 98431-0001

Phone 253-968-1980 · Fax 253-968-0384

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