Individual
DR. JALAL DAHSHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4817 W 83RD ST, BURBANK, IL 60459-2790
(708) 425-3135
(708) 425-6884
Mailing address
12082 BLACKTHORNE RIDGE DR, MOKENA, IL 60448-8118
(773) 459-8227
(708) 581-3936
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036088926
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01608243
BLUE CROSS
IL
01
—
01639156
BLUE CROSS
IL
05
—
036088926
—
IL
Enumeration date
07/06/2006
Last updated
04/12/2017
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