Burrussi, Tamika

Burrussi, Tamika is an sole proprietor health care provider with primary practice located at 356 W Superior St Fl 2 , Chicago IL 60654-3416. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Burrussi, Tamika can be contacted via phone (312) 932-0300.

Contact Information

Primary practice address
356 W Superior St Fl 2 Chicago IL 60654-3416
Fax: (312) 932-0304
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 181.000359 Illinois

Profile Details

NPI number 1215169065
LBN Legal business name Burrussi, Tamika
Credentials Doctor of Nursing (DN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2009
Last updated Aug 12th, 2009 - about 17 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 1215169065 NPPES
Illinois MEDICAID 181.000359

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