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NPI Code Detail

MEDICARE: DR. JAMES A BURNS MD

MEDICARE: DR. JAMES A BURNS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology Physician210899MA
2207Y00000XOtolaryngology Physician036164845IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1470241OTHERMATUFTS HEALTH PLAN
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3J28658OTHERMABCBS MA

General Provider Information

NPI Number : 1396735320
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES A BURNS MD
Provider Business Mailing Address
First Line : 675 N SAINT CLAIR ST STE 15-200
Second Line :
City : CHICAGO
State : IL
Zip : 60611-5967
Country : US
Telephone Number : 312-695-8182
Fax Number : 312-695-4303
Provider Business Practice Location Address
First Line : 675 N SAINT CLAIR ST STE 15-200
Second Line :
City : CHICAGO
State : IL
Zip : 60611-5967
Country : US
Telephone Number : 312-695-8182
Fax Number : 312-695-4303
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2005
Last Update Date : 10/27/2023

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Directions to “ DR. JAMES A BURNS MD” Practice Location

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