Organization Active NPI

Robert W. Burton, MD, Inc.

  • Adult Mental Health Clinic/Center
  • Winnetka, IL
National Provider Identifier
1629418132
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
036072613 Issued in IL
Legal business name
ROBERT W. BURTON, MD, INC.
Practice address
1274 Tower Rd
Winnetka, IL 60093-1638
Phone
(312) 203-3253
Fax
(847) 595-8353
NPI assigned
Jun 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Authorized official

Name
Robert W. Burton, MDNPI 1831312131
Title
President
Phone
(312) 203-3253

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 036072613 IL Primary

Addresses

Primary practice location

1274 Tower Rd
Winnetka, IL 60093-1638

Mailing address

1274 Tower Rd
Winnetka, IL 60093-1638
Phone (312) 203-3253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130813000351 IL Part B Supplier - Clinic/Group Practice 2466694948 Receives reassigned benefits from 1 practitioner
Practice locations: Winnetka, IL

National Provider Directory

National Provider Directory

Locations

636 Church St
Ste 715
Evanston, IL 60201
Phone (312) 203-3253

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1629418132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1274 TOWER RD",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600931638",
            "telephone_number": "312-203-3253",
            "fax_number": "847-595-8353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1274 TOWER RD",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600931638",
            "telephone_number": "312-203-3253",
            "fax_number": "847-595-8353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W. BURTON, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-28",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "BURTON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-203-3253",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "IL",
            "license": "036072613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnetka, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.