Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Koko Solene Burruss, DT

Individual provider Developmental Therapist · NPI 1053831420

Koko Solene Burruss, DT is a Developmental Therapist in Chicago, Illinois. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

1258 S Canal St
Chicago, IL 60607-5213
Phone: (312) 925-7962
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1053831420
Entity typeIndividual (Type 1)
GenderFemale
Credentials DT
Sole proprietorNo
NPI enumeratedJune 26, 2017
Last updated in NPPESJune 26, 2017

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