Healthcare Provider Details

I. General information

NPI: 1053592253
Provider Name (Legal Business Name): JAMES BURKS MD SC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2007
Last Update Date: 08/09/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2971 W. ALGONQUIN RD. SUITE 106
ALGONQUIN IL
60102-9407
US

IV. Provider business mailing address

1975 LIN LOR LANE SUITE 175
ELGIN IL
60123-4920
US

V. Phone/Fax

Practice location:
  • Phone: 847-854-1987
  • Fax: 847-717-0297
Mailing address:
  • Phone: 847-717-0600
  • Fax: 847-717-0297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: KRISTI STERN
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 847-717-0600