Provider Demographics
NPI:1144329764
Name:BURDA, CHARLES E (MD)
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:E
Last Name:BURDA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:501 W OGDEN AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-3179
Mailing Address - Country:US
Mailing Address - Phone:630-986-0599
Mailing Address - Fax:630-986-1477
Practice Address - Street 1:376 SUMMIT AVENUE
Practice Address - Street 2:1 S. COURT D, UNIT 5B
Practice Address - City:OAKBROOK TERRACE
Practice Address - State:IL
Practice Address - Zip Code:60181-3985
Practice Address - Country:US
Practice Address - Phone:630-629-2700
Practice Address - Fax:630-629-6558
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2013-02-05
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Provider Licenses
StateLicense IDTaxonomies
IL0360892362084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL02232743OtherBCBS