BURBANK MEDICAL CENTER SC - NPI 1700058898 - Internal Medicine in Burbank, IL

Q: What is Burbank Medical Center Sc's NPI number?

The NPI number for Burbank Medical Center Sc is 1700058898. It was assigned to this organization in the NPPES registry on March 28, 2008.

Q: What is Burbank Medical Center Sc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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About Burbank Medical Center Sc NPPES

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

BURBANK MEDICAL CENTER SC (NPI 1700058898) is a healthcare organization registered as an internal medicine in Burbank, Illinois and active in the NPI registry since March 2008. The organization lists Jalal Dahshe, President, as its authorized official.

NPPES Registry Identity

NPI1700058898

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameBURBANK MEDICAL CENTER SC

Location Address4817 W 83RD STBurbank, IL 60459-2790

Mailing Address4817 W 83rd StBurbank, IL 60459-2790 · (708) 425-3135 · Fax (708) 425-6884

Phone(708) 425-3135

Fax(708) 425-6884

Organization SubpartNo

Authorized OfficialJalal DahshePresident · (708) 425-3135

Enumeration DateMarch 28, 2008

Last NPPES UpdateJuly 10, 2008

✔ NPI 1700058898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IL · 036088926

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 036054337 (IL)

Also ListedPodiatristTaxonomy 213E00000X · License 016002638 (IL)

4817 W 83RD ST, Burbank, IL 60459

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Other Identifiers 5

Medicaid036088926IL

Medicare PINK50364IL

Medicare PINK50362IL

Other01639156IL · Blue Cross

Medicare PIN216342IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOYAM TANON QMHP

Counselor (Professional)