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

Tyler Michael Burris, PA

Individual provider Physician Assistant · NPI 1891554887

Tyler Michael Burris, PA is a Physician Assistant in Chicago, Illinois. Qualified in 2024, 2 years ago. Practices with Rockford Psychiatric Medical Services SC, a 151-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
2
In the registry since
2024
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

520 N Ridgeway Ave
Chicago, IL 60624-1232
Phone: (773) 265-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1891554887
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 13, 2024
Last updated in NPPESMarch 13, 2024
Certification dateMarch 13, 2024
Mailing address4911 N Glenwood Ave Apt 1a, Chicago, IL 60640-3534

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Rockford Psychiatric Medical Services Sc — 151 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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