| Doctor Name: | DR. BRIAN JOHN BURGESS |
| NPI Number: | 1285903146 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | 135-000678 |
| Business Practice Address: | 2940 Rollingridge Rd Suite 102 Naperville, IL - 605644231 |
| Business Phone Number: | 6305796500 |
| Business Fax Number: | 6305795860 |
| Mailing Address: | 550 W Ogden Ave, HINSDALE |
| State: | IL |
| Postal Code: | 605213186 |
| Phone Number: | 6303236116 |
| Fax Number: | 6303235309 |
| NPI Enumeration Date: | 12/22/2011 |
| NPI Last Update Date: | 11/15/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 135-000678 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |