Organization
BURHANI CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MUFADAL MOOSABHOY M.D (PRESIDENT)
(708) 369-9695
Entity
Organization
Contact information
Practice address
10S252 KINGERY HWY, WILLOWBROOK, IL 60527-6146
(630) 320-0638
Mailing address
10S252 KINGERY HWY, WILLOWBROOK, IL 60527-6146
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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