MRS. PHYLLIS VERONICA BURGESS APN MSN NPI 1306055900

NPI Information

NPI: 1306055900
Provider Name: MRS. PHYLLIS VERONICA BURGESS, APN MSN
Classification: Nurse Practitioner - 363LN0000X
Entity Type: Individual

Specialization: Neonatal

Address:
1901 W HARRISON ST
CHICAGO, IL
ZIP 60612
Phone: (312) 864-4263
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MRS. Phyllis Veronica Burgess, APN MSN is a neonatal nurse practitioner in Chicago, IL. MRS. Phyllis Veronica Burgess, APN MSN NPI is 1306055900. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1901 W HARRISON ST
CHICAGO, IL
ZIP 60612-714
Phone: (312) 864-4263

The enumeration date for this NPI number is 5/21/2007 and was last updated on 7/14/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		041162850	ILLINOIS	No
2	163WN0002X	Registered Nurse	Neonatal Intensive Care	041-162850	ILLINOIS	No
3	363LN0000X	Nurse Practitioner	Neonatal	209001006	ILLINOIS	Yes
4	364SN0000X	Clinical Nurse Specialist	Neonatal	209001005	ILLINOIS	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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