National Provider Identifier Database

AMANDA M BURRESS
Surgical


Contact Information

AMANDA M BURRESS
5841 S MARYLAND AVE
CHICAGO, IL60637-1443
Phone: 888-824-0200
Fax:
Website:
Specialty Taxonomy Code
* Surgical 363AS0400X

* Indicates primary specialty

NPI Profile & details for AMANDA M BURRESS

NPI Number 1811282742
Credentials
Entity Individual
Enumeration date 06/20/2011
Last updated 10/24/2022 - About 4 years ago
Sole proprietor1 No
Identifiers
  • IL License #: 085004655
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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