Provider Demographics
NPI:1811906043
Name:JAMES BURKS MD SC
Entity type:Organization
Organization Name:JAMES BURKS MD SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:
Authorized Official - Last Name:STERN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:847-717-0600
Mailing Address - Street 1:1975 LIN LOR LN
Mailing Address - Street 2:SUITE 175
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-4920
Mailing Address - Country:US
Mailing Address - Phone:847-717-0600
Mailing Address - Fax:847-717-0297
Practice Address - Street 1:1975 LIN LOR LN
Practice Address - Street 2:SUITE 175
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-4920
Practice Address - Country:US
Practice Address - Phone:847-717-0600
Practice Address - Fax:847-717-0297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL208962Medicare PIN
IL208961Medicare PIN