Individual provider Active NPI

Igor Luiz Maciel Burstein

  • Behavior Analyst
  • Chicago, IL
National Provider Identifier
1225637374
Registry record updated Dec 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Practice address
6414 W North Ave
Chicago, IL 60707
Phone
(708) 787-8840
NPI assigned
Oct 20, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X Primary

Addresses

Primary practice location

6414 W North Ave
Chicago, IL 60707

Mailing address

1919 S Michigan Ave Unit 411
Chicago, IL 60616-1690
Phone (954) 851-4741

Other names 1

  • Igor Luiz Maciel Former name

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": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766016000000",
    "number": "1225637374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 S MICHIGAN AVE UNIT 411",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161690",
            "telephone_number": "954-851-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6414 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60707",
            "telephone_number": "708-787-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIEL BURSTEIN",
        "first_name": "IGOR",
        "middle_name": "LUIZ",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-20",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IGOR",
            "last_name": "MACIEL",
            "middle_name": "LUIZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; 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.