Active NPI
Talia Regina Ruth Burwash-Brennan, M.D.
- Student in an Organized Health Care Education/Training Program
- Chicago, IL
National Provider Identifier
1891236295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1901 West Harrison Street
Department of Trauma, John H. Stroger Hospital of Cook
Chicago, IL 60612 - Phone
- (312) 864-0390
- Fax
- (312) 864-9919
- NPI assigned
- Mar 17, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1901 West Harrison Street
Department of Trauma, John H. Stroger Hospital of Cook
Chicago, IL 60612
Mailing address
320 McLeod Street
Apt 608
Ottawa, ONTARIO K2P1A3
CA
Phone (613) 804-2705
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489708800000",
"number": "1891236295",
"addresses": [
{
"country_code": "CA",
"country_name": "Canada",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "320 MCLEOD STREET",
"address_2": "APT 608",
"city": "OTTAWA",
"state": "ONTARIO",
"postal_code": "K2P1A3",
"telephone_number": "16138042705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 WEST HARRISON STREET",
"address_2": "DEPARTMENT OF TRAUMA, JOHN H. STROGER HOSPITAL OF COOK",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60612",
"telephone_number": "312-864-0390",
"fax_number": "312-864-9919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURWASH-BRENNAN",
"first_name": "TALIA",
"middle_name": "REGINA RUTH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-17",
"last_updated": "2017-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.