Active NPI
Sally Burke
- Counselor
- Elgin, IL
National Provider Identifier
1114472271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 620 Wing St
Unit 3
Elgin, IL 60123-2800 - Phone
- (708) 254-6168
- NPI assigned
- Aug 18, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
620 Wing St
Unit 3
Elgin, IL 60123-2800
Mailing address
7 Ivy CT
South Elgin, IL 60177-2880
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471478400000",
"number": "1114472271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 IVY CT",
"city": "SOUTH ELGIN",
"state": "IL",
"postal_code": "601772880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 WING ST",
"address_2": "UNIT 3",
"city": "ELGIN",
"state": "IL",
"postal_code": "601232800",
"telephone_number": "708-254-6168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURKE",
"first_name": "SALLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-18",
"last_updated": "2016-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.