Active NPI
Burruss Health Services
- Naprapath
- Chicago, IL
National Provider Identifier
1417278284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naprapath
- License
- 181000359
- Legal business name
- BURRUSS HEALTH SERVICES
- Practice address
- 8045 S Kimbark Ave
Chicago, IL 60619-3418 - Phone
- (708) 323-7608
- Fax
- (708) 286-6461
- NPI assigned
- Jun 16, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tamika Burruss, DN
- Title
- President
- Phone
- (708) 323-7608
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Naprapath | 172P00000X | 181000359 | IL | Primary |
Addresses
Primary practice location
8045 S Kimbark Ave
Chicago, IL 60619-3418
Mailing address
8045 S Kimbark Ave
Chicago, IL 60619-3418
Phone (708) 323-7608
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 181000359 | Medicaid | IL |
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba Burruss Health Services, Inc.
- Internal Medicine Physician
- Chicago, IL
- NPI 1205177037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276646400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1276646400000",
"number": "1417278284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8045 S KIMBARK AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606193418",
"telephone_number": "708-323-7608",
"fax_number": "708-286-6461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8045 S KIMBARK AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606193418",
"telephone_number": "708-323-7608",
"fax_number": "708-286-6461"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BURRUSS HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-16",
"last_updated": "2010-06-16",
"status": "A",
"authorized_official_last_name": "BURRUSS",
"authorized_official_first_name": "TAMIKA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-323-7608",
"authorized_official_credential": "DN"
},
"taxonomies": [
{
"code": "172P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Naprapath",
"state": "IL",
"license": "181000359",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "181000359",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
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 Jun 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.