Carol Tashjian Burkhart, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036087815 Issued in IL

Practice address

135 N Arlington Heights Rd Ste 152
Buffalo Grove, IL 60089-1782

Phone

(847) 465-9600

Fax

(847) 465-9601

NPI assigned

Jul 21, 2006

Last updated

Apr 6, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1861413346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 N ARLINGTON HEIGHTS RD STE 152",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891782",
            "telephone_number": "847-465-9600",
            "fax_number": "847-465-9601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 N ARLINGTON HEIGHTS RD STE 152",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891782",
            "telephone_number": "847-465-9600",
            "fax_number": "847-465-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKHART",
        "first_name": "CAROL",
        "middle_name": "TASHJIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036087815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036087815        2",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Buffalo Grove Physical Therapy and Sports Rehabilitation PC
• Buffalo Grove Skilled Nursing Facility LLC (Warren Barr Buffalo Grove)
• Sierra Bugno
• Quyen Thi Bui, PA-C
• Taylor Burke, APN-CNP
• Nimra Burney
• Alexander Busch, LSW
• Moira Priven Bushell, OTD, MED, OTR/L, BCP
• C3 Chiropractic Center Corp
• Daniel B Cacioppo, MD

• Pediatrics Physician in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.