Tamika Burrussi, DN

Primary specialty

SpecialistTaxonomy code 174400000X

License

181.000359 Issued in IL

Practice address

356 W Superior St FL 2
Chicago, IL 60654-3416

Phone

(312) 932-0300

Fax

(312) 932-0304

NPI assigned

Aug 12, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Preventive Cardiovascular Services SC

  • Cardiovascular Disease Physician
  • Chicago, IL
  • NPI 1306914791
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250035200000",
    "number": "1215169065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 187",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604770187",
            "telephone_number": "708-479-6522",
            "fax_number": "708-479-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "356 W SUPERIOR ST FL 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606543416",
            "telephone_number": "312-932-0300",
            "fax_number": "312-932-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURRUSSI",
        "first_name": "TAMIKA",
        "credential": "DN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-12",
        "last_updated": "2009-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "181.000359",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "181.000359",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlene Arnitia Burrows, STUDENT
• Nicole E. Burrows, PA
• Burruss Health Services
• Clayton Prakash Burruss
• Koko Solene Burruss, DT
• Pamela Burse
• Tamara L Burse, LPC
• Joshua Burshtein, MD
• David Scott Burstein, M.D.
• Adam J Bursua, PHARM.D.

• Specialist in Chicago, IL
• Providers in Chicago, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.