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Malia Carol Burden

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

1717 W Congress Pkwy, Chicago, IL 60612-3809

PECOS Enrollment

This provider is enrolled in PECOS as MALIA BURDEN.

Based on the most recent information from CMS, provider Malia Carol Burden is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1376312157
Provider Type
Individual
Full Name
Burden, Malia Carol
Gender
Female

Sole Proprietor
No
Enumeration Date
12/21/2023
Last Updated
4/28/2025

Contact Information

Practice Location

1717 W Congress Pkwy, Chicago, IL 60612-3809

(312) 942-4200

Unlisted Fax

Mailing Location

1717 W Congress Pkwy, Chicago, IL 60612-3809

(312) 942-4200

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 085011253 Illinois

Malia Carol Burden

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Holden, M C

Odgers, Kate

Mentzer, Aaron

Woodley, Elizabeth

Slocombe, Kaitlin Rea

Rao, Prerana

Silva, Adelaida

Schock, Lindsey

Reed, Kennedy Jean

Han, Michael Peter