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BURGOS FUENTES SERVICE CORPORATION
NPI 1154491348
Clinic/Center - Primary Care in Bensenville, IL

Active since November 08, 2006
229 W GRAND AVE STE QW, BENSENVILLE, IL 60106(630) 422-1917(630) 422-7226 Get Directions Write a Review

NPPES record last updated: December 1, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Burgos Fuentes Service Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BURGOS FUENTES SERVICE CORPORATION (NPI 1154491348) is a healthcare organization registered as a primary care in Bensenville, Illinois and active in the NPI registry since November 2006. The organization lists Miguel A Burgos, President, as its authorized official.

NPPES Registry Identity

NPI1154491348
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameBURGOS FUENTES SERVICE CORPORATION
Location Address229 W GRAND AVE STE QWBensenville, IL 60106-3373
Mailing Address229 W Grand Ave Ste QwBensenville, IL 60106-3373 · (630) 422-1917 · Fax (630) 422-7226
Phone(630) 422-1917
Fax(630) 422-7226
Organization SubpartNo
Authorized OfficialMiguel A BurgosPresident · (630) 422-1917
Enumeration DateNovember 8, 2006
Last NPPES UpdateDecember 1, 2011
✔ NPI 1154491348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in IL · 036103673
229 W GRAND AVE STE QW, Bensenville, IL 60106
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Burgos Fuentes Service Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Burgos Fuentes Service Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Miguel Burgos, M.D
Family Practice
NPI 1013058379
229 W GRAND AVENUE SUITE QW
Bensenville, IL 60106
(630) 422-1917
✔ PECOS✔ Accepts Medicare0.8 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Burgos Fuentes Service Corporation's NPI number?

The NPI number for Burgos Fuentes Service Corporation is 1154491348. It was assigned to this organization in the NPPES registry on November 8, 2006.

Where is Burgos Fuentes Service Corporation located?

Burgos Fuentes Service Corporation is located at 229 W Grand Ave Ste Qw, Bensenville, IL 60106. The listed phone number is (630) 422-1917.

What is Burgos Fuentes Service Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Burgos Fuentes Service Corporation enrolled in Medicare?

Yes. Burgos Fuentes Service Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Burgos Fuentes Service Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Burgos Fuentes Service Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Burgos Fuentes Service Corporation was last updated on December 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.