Jalal Dahshe, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036088926 Issued in IL

Practice address

4817 W 83Rd St
Burbank, IL 60459-2790

Phone

(708) 425-3135

Fax

(708) 425-6884

NPI assigned

Jul 6, 2006

Last updated

Apr 12, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Burbank Medical Group Inc

  • Internal Medicine Physician
  • Burbank, IL
  • NPI 1508107061
  Medicare reassignment NPD Authorized official
• Burbank Medical Center SC

  • Internal Medicine Physician
  • Burbank, IL
  • NPI 1700058898
  NPD (past) Authorized official
• Southwest Foot Ankle, LLC

  • Foot & Ankle Surgery Podiatrist
  • Oak Lawn, IL
  • NPI 1063381952
  NPD
• Professional Health Sport, Inc.

  • General Practice Physician
  • Chicago, IL
  • NPI 1063632917
  NPD (past)
• San Pablo Medical Center, LTD.

  dba North Avenue Physicians Center, Division Physicians Center

  • Internal Medicine Physician
  • Chicago, IL
  • NPI 1548323330
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1790716967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12082 BLACKTHORNE RIDGE DR",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604488118",
            "telephone_number": "773-459-8227",
            "fax_number": "708-581-3936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4817 W 83RD ST",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604592790",
            "telephone_number": "708-425-3135",
            "fax_number": "708-425-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHSHE",
        "first_name": "JALAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036088926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorcy Celia Covarrubias, MS, CCC-SLP
• Charles Joseph Cranny, PT
• Chelsea Kay Crumbleholme, MA CCC SLP
• Susan Victoria Cullen, LCPC
• Eric Michael Czajkowski, M.D.
• Francis De Castro, MSW, LCSW
• Sara Christine De Van
• Lynn Ann Dedecker, MS
• Lea Dela Pena, PHARMD
• Humberto Deleon, MD

• Internal Medicine Physician in Burbank, IL
• Providers in Burbank, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.