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1508107061
BURBANK MEDICAL GROUP INC
BURBANK, IL
NPI
1508107061
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Entity Type
Organization
Authorized Contact
JALAL DAHSHE
Provider
708-425-3135
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036088926)
Enumeration Date
2013-03-08
Last Update Date
2013-03-08
Business Address
BURBANK MEDICAL GROUP INC
4817 W 83RD ST
BURBANK, IL 60429
Phone number: 708-425-3135
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Mailing Address
BURBANK MEDICAL GROUP INC
9229 MASSASOIT AVE
OAK LAWN, IL 60453
Phone number: 708-422-2023
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