Burgess, Brian John

Burgess, Brian John is an individual health care provider with primary practice located at 2940 Rollingridge Rd Suite 102, Naperville IL 60564-4231. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Burgess, Brian John can be contacted via phone (630) 579-6500.

Contact Information

Primary practice address
2940 Rollingridge Rd Suite 102 Naperville IL 60564-4231
Phone: (630) 579-6500
Fax: (630) 579-5860
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 135-000678 Illinois

Profile Details

NPI number 1285903146
LBN Legal business name Burgess, Brian John
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2011
Last updated Nov 15th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285903146 NPPES
Illinois MEDICAID 016005467

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