Organization Active NPI

Burruss Health Services

  • Naprapath
  • Chicago, IL
National Provider Identifier
1417278284
Registry record updated Jun 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaprapathTaxonomy code 172P00000X
License
181000359 Issued in IL
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

Updated by the provider on Jun 16, 2010

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)CodeLicenseStatePrimary
NaprapathGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
181000359MedicaidIL

National Provider Directory

National Provider Directory

Ownership & 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.

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.

Verify at the official NPI Registry.