Organization
BURBANK CLINICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YASEEN ODEH (OWNER)
(708) 499-9944
Entity
Organization
Contact information
Practice address
5501 W 79TH ST, SUITE 200, BURBANK, IL 60459-1784
(708) 499-9944
Mailing address
5501 W 79TH ST, SUITE 200, BURBANK, IL 60459-1784
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036083325
IL
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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