Burgess Christiansen Wilson, MD, Chartered

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

BURGESS CHRISTIANSEN WILSON, MD, CHARTERED

Practice address

25 E Washington St
Suite 1714
Chicago, IL 60602-1708

Phone

(312) 223-9202

Fax

(312) 223-9203

NPI assigned

Sep 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Burgess C. Wilson, M.D.

Title

President

Phone

(312) 223-9202

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Carl M Wahlstrom Jr., M.D.

  • Psychiatry Physician
  • Chicago, IL
  • NPI 1255498945
  NPD (past)

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

{
    "created_epoch": "1189987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376611200000",
    "number": "1871789545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 E WASHINGTON ST",
            "address_2": "SUITE 1714",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021708",
            "telephone_number": "312-223-9202",
            "fax_number": "312-223-9203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 E WASHINGTON ST",
            "address_2": "SUITE 1714",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606021708",
            "telephone_number": "312-223-9202",
            "fax_number": "312-223-9203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURGESS CHRISTIANSEN WILSON, MD, CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-17",
        "last_updated": "2013-08-16",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "BURGESS",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-223-9202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Burg, AUD,PHD,CCC-A
• Iris Burgard, DO
• Susie Burge, PHARMD
• Kyle David Burgers, O.D.
• Michala Nicole Burges, MD
• Antionette Burgess
• Christopher Burgess, PSY.D.
• Juliana Burgess
• Katelyn Elizabeth Burgess
• Kelly Rebecca Burgess, MS, CGC

• Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2013; 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.