Provider Demographics
NPI:1184499527
Name:BURNS, VERONICA (MS, CCLS, PCD)
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:
Last Name:BURNS
Suffix:
Gender:F
Credentials:MS, CCLS, PCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2818 W NORTH AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60647-0792
Mailing Address - Country:US
Mailing Address - Phone:708-953-1645
Mailing Address - Fax:
Practice Address - Street 1:2818 W NORTH AVE APT 3
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60647-0792
Practice Address - Country:US
Practice Address - Phone:708-953-1645
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-15
Last Update Date:2023-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula