DR. NICHOLAS C BURRIESCI (NPI# 1811268790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811268790 |
| Entity Type | Individual |
| Full Name | DR. NICHOLAS C BURRIESCI |
| Credential | M.D. |
| Practice Address |
119 N Haven Rd Elmhurst IL 60126-2931 |
| Practice Telephone | 6305300943 |
| Mailing Telephone | 6305300943 |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2012-01-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036041677 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036041677 | 05 |
| Street Address |
119 N HAVEN RD |
| City | ELMHURST |
| State | IL |
| Zip Code | 60126-2931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154931434 | Andrew D Chastain | Physical Therapy Assistant | 188 N. Industrial Drive, Suite 112, Elmhurst, IL 60126 | 2020-08-03 |
| 1407464472 | Kevin M. Dunn | Physical Therapy Assistant | 188 N, Industrial Dr, Suite 112, Elmhurst, IL 60126 | 2020-07-16 |
| 1699236414 | Rosario Garcia | Nurse Practitioner | 1200 York St, Elmhurst, IL 60126 | 2019-03-26 |
| 1003390857 | Lauren M Gorski | Physical Therapist | 275 N. York Rd, Suite 300, Elmhurst, IL 60126 | 2018-09-18 |
| 1073041240 | Kyle Patrick Harmon | Dentist | 127 W Vallette St, Elmhurst, IL 60126 | 2017-05-31 |
| 1083065031 | Mariah Lynn Kyro | Behavioral Analyst | 650 W. Grand Avenue Suite 207, Elmhurst, IL 60126 | 2016-06-30 |
| 1841661261 | Randi N. Rockell | Nurse Practitioner | 155 E. Brush Hill Rd., Elmhurst Memorial Hospital, Elmhurst, IL 60126 | 2015-10-12 |
| 1508254897 | Soles Therapy Services Corp | Speech-Language Pathologist | 627 N York Street, Unit E, Elmhurst, IL 60126 | 2015-01-08 |
| 1629466560 | Amy J Pawlik | Physical Therapist | 263 N. York Rd., Suite 200, Elmhurst, IL 60126 | 2014-12-30 |
| 1265771349 | Ladawna Goering | Nurse Practitioner | 133 E Brush Hill, Suite 310, Elmhurst, IL 60126 | 2013-02-08 |
| Find all providers in zip 60126 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609194810 | Nishant Kumar | Radiology | 155 E. Brush Hill Road, Elmhurst, IL 60126-5652 | 2010-05-12 |
| 1962551895 | Angelo Peter Malamis | Radiology | 558 S Cedar Ave, Elmhurst, IL 60126-4136 | 2007-01-09 |
| 1184643561 | Khaleda Billah | Radiology | 4036 74th St, Elmhurst, NY 11373-5630 | 2006-07-18 |
| 1841248689 | Jay D Tartell | Radiology | 8940 56th Ave, Elmhurst, NY 11373-4933 | 2006-05-04 |
| 1578564696 | Djordje Boskov | Radiology | 566 S Hillcrest Ave, Elmhurst, IL 60126-4146 | 2005-08-10 |
| 1942685649 | Comprehensive Diagnostic Imaging Services P.C. | Radiology | 8635 Queens Blvd, Suite 2lm, Elmhurst, NY 11373-4434 | 2015-07-23 |
| 1417367921 | New York Radiology PC | Radiology | 5718 Junction Blvd, Elmhurst, NY 11373-5153 | 2014-05-06 |
| 1376814863 | Apollo Medical Diagnostic Services Pllc | Radiology | 4036 74th St, Elmhurst, NY 11373-5630 | 2012-01-16 |
| 1194984914 | Scott Michael Stickles | Radiology | 8940 56th Ave, Elmhurst, NY 11373-4933 | 2008-06-06 |
| 1831229111 | Be Ty Dy | Radiology | 9002 Queens Blvd, Elmhurst, NY 11373-4941 | 2007-03-06 |
| Find all providers in ELMHURST | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.