# ADRIENNE M BURFORD-FOGGS MD SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144473745
- **Authorized official:** DR. ADRIENNE M BURFORD-FOGGS MD SC M.D. (PHYSICIAN)
- **Authorized official phone:** (312) 926-0551

## Contact information

- **Practice address:** 233 E ERIE ST STE 701, CHICAGO, IL 60611-5933
- **Practice address phone:** (312) 664-4000
- **Practice address fax:** (312) 664-4006
- **Mailing address:** 233 E ERIE ST STE 701, CHICAGO, IL 60611-5933
- **Mailing address phone:** (312) 664-4000
- **Mailing address fax:** (312) 664-4006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RR0500X | Rheumatology Physician | 036072741 | IL | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 10/28/2008
- **Last updated:** 02/25/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036072741 | — | IL |