Janice Dianne Burrus, MS
Individual provider Active NPI Speech-Language Pathologist · Eldorado, IL
NPI 1598880064 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1598880064
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 101 Mundy St
Eldorado, IL 62930-1359 - Phone
- (270) 853-5872
- NPI assigned
- Mar 20, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146.003241 | IL | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | IL | Yes |
Addresses
Primary practice location
101 Mundy St
Eldorado, IL 62930-1359
Mailing address
101 Mundy St
Eldorado, IL 62930-1359
Phone (270) 853-5872
Other providers in Eldorado, IL
- Tiera Corrina Brown
- Brigitte D Browning
- Donald M Buckman
- Kasey Buckman
- Brad Burklow
- C V Kasiar LTD
- Rae H Cain
- Casey L Carlile
- Sidharth Chandra
- Rumbidzai C Chisango
All providers in Eldorado, IL · Speech-Language Pathologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.