Individual
DR. BRIAN JOHN BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2940 ROLLINGRIDGE RD, SUITE 102, NAPERVILLE, IL 60564-4231
(630) 579-6500
(630) 579-5860
Mailing address
550 W OGDEN AVE, HINSDALE, IL 60521-3186
(630) 323-6116
(630) 323-5309
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
135-000678
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016005467
—
IL
Enumeration date
12/22/2011
Last updated
11/15/2012
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