SearchIllinois106S00000X

Manuel Burgos

NPI 1831999655 · on the registry since 2025 · sole proprietor

Practice

Address
4108 Fieldstone Rd Ste A
Champaign, IL 61822
Phone
(312) 838-9555
Clinicians at this address
29

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-03-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois