Healthcare Provider Details

I. General information

NPI: 1821058819
Provider Name (Legal Business Name): JAMES H BURKS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 03/03/2025
Certification Date: 03/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2971 W ALGONQUIN RD STE 106
ALGONQUIN IL
60102-9407
US

IV. Provider business mailing address

3165 OLYMPIA LN
NAPLES FL
34114-0824
US

V. Phone/Fax

Practice location:
  • Phone: 847-854-1987
  • Fax:
Mailing address:
  • Phone: 224-735-5311
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number4555
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number036076700
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number036076700
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: