Healthcare Provider Details

I. General information

NPI: 1487846580
Provider Name (Legal Business Name): TRIPTI BURT PLASTIC SURGERY SC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2007
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24600 W 127TH ST STE 240
PLAINFIELD IL
60585-9507
US

IV. Provider business mailing address

24600 W 127TH ST STE 240
PLAINFIELD IL
60585-9507
US

V. Phone/Fax

Practice location:
  • Phone: 815-267-8830
  • Fax: 815-267-8840
Mailing address:
  • Phone: 815-267-8830
  • Fax: 815-267-8840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2086S0122X
TaxonomyPlastic and Reconstructive Surgery Physician
License Number036111195
License Number StateIL

VIII. Authorized Official

Name: DR. TRIPTI BURT
Title or Position: OWNER
Credential: MD
Phone: 815-318-5010