Shannon Lee Burke, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

038008965 Issued in IL

Practice address

241 Golf Mill Ctr
Suite 600
Niles, IL 60714-1224

Phone

(847) 699-8888

Fax

(847) 699-8830

NPI assigned

Nov 2, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Chiropractic

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Suburban Physicians Group, LTDGroup PAC ID 8921174566, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• North Suburban Physicians Group, LTD

  • Specialist
  • Niles, IL
  • NPI 1750550703

  Chiropractor

  Medicare reassignment Care Compare group NPD
• North Shore Physical Medicine

  • Chiropractor
  • Niles, IL
  • NPI 1588743405
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1952480865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 GOLF MILL CENTER",
            "address_2": "SUITE 600",
            "city": "NILES",
            "state": "IL",
            "postal_code": "60714",
            "telephone_number": "847-699-8888",
            "fax_number": "847-699-8830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 GOLF MILL CTR",
            "address_2": "SUITE 600",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141224",
            "telephone_number": "847-699-8888",
            "fax_number": "847-699-8830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURKE",
        "first_name": "SHANNON",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038008965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00308284",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "01623055",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Brobson, M.A.
• Susan G Brown, MD
• Ellen S Brull, M.D.
• Alyssa Brummitt
• Yevgeny Bulbin, MD
• Buy Medicine Now Inc
• Wojciech Buzun, ATC
• Amy Susan Bye, B.S., D.T.
• Ca Solay Healthcare Group, P.C.
• Mary Jane Cabreros

• Chiropractor in Niles, IL
• Providers in Niles, IL by specialty
• Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.