Burgess, Phyllis Veronica

Burgess, Phyllis Veronica is an sole proprietor health care provider with primary practice located at 1901 W Harrison St , Chicago IL 60612-3714. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Neonatal, Nursing Service Providers / Registered Nurse, Nursing Service Providers / Neonatal Intensive Care. Physician Assistants & Advanced Practice Nursing Providers / Neonatal is her primary health care specialty. Burgess, Phyllis Veronica can be contacted via phone (312) 864-4263.

Contact Information

Primary practice address
1901 W Harrison St Chicago IL 60612-3714
Phone: (312) 864-4263
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 364SN0000X 209001005 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 209001006 Illinois
Nursing Service Providers / Registered Nurse 163W00000X 041162850 Illinois
Nursing Service Providers / Neonatal Intensive Care 163WN0002X 041-162850 Illinois

Profile Details

NPI number 1306055900
LBN Legal business name Burgess, Phyllis Veronica
Credentials APN MSN
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2007
Last updated Jul 14th, 2020 - about 4 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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