Burbank Medical Group INC

NPI #1508107061 in Burbank, Illinois

Provider Information

NPI Number: 1508107061
Entity Type: Organization
Organization Name: Burbank Medical Group INC
Primary Specialty: Internal Medicine
Enumeration Date: Mar 8, 2013
Last Updated: Mar 8, 2013

Practice Location

Address: 4817 W 83RD ST
City: Burbank
State: Illinois
ZIP Code: 60429
Phone: (708) 425-3135

Authorized Official

Name: JALAL DAHSHE, MD
Title: PROVIDER
Phone: (708) 425-3135

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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