Christian J Burks, MS, CHW

Individual provider Active NPI Health & Wellness Coach · Hazel Crest, IL

NPI 1700716115 · NPPES record last updated May 20, 2026

Key facts

NPI
1700716115
Entity type
Individual (NPI type 1)
Primary specialty
Health & Wellness Coach 171400000X
Practice address
2800 175TH St
Hazel Crest, IL 60429-1705
Phone
(312) 463-9440
NPI assigned
May 20, 2026
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

LicenseStateTypeSpecialty
HVM74423INMDCommunity Health Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker
Group: 193200000X MULTI-SPECIALTY GROUP
172V00000X HVM74423 IN
Health & Wellness Coach
Group: 193200000X MULTI-SPECIALTY GROUP
171400000X Yes

Addresses

Primary practice location

2800 175TH St
Hazel Crest, IL 60429-1705

Mailing address

3813 Edgewater Dr
Hazel Crest, IL 60429-2438
Phone (312) 463-9440

Other providers in Hazel Crest, IL

All providers in Hazel Crest, IL · Health & Wellness Coach in Illinois

Sources for this page

Verify at the official NPI Registry.