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Ayyah Samir Ghouleh
Family Nurse Practitioner in Burbank, Illinois
NPI 1649049230

Ayyah Samir Ghouleh is a Family Nurse Practitioner based in Burbank, IL and is specialized in Family. Ayyah Samir Ghouleh practices in Burbank, IL. The NPI Number for Ayyah Samir Ghouleh is 1649049230 and holds a License No. 209.029010 (Illinois).

The current practice location address for Ayyah Samir Ghouleh is 6415 W 84Th St, Burbank, IL and can be reached out via phone at 708-595-2636.

Location: 6415 W 84Th St, Burbank, IL, 60459-2412
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649049230
Provider Name
Ayyah Samir Ghouleh
Credential
Provider Entity Type
Individual
Gender
Female
Address
6415 W 84Th St, Burbank, IL, 60459-2412
Phone Number
708-595-2636
Fax Number
Provider Enumeration Date
12/25/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6415 W 84Th St
City
Burbank
State
Illinois
Zip
60459-2412
Phone Number
708-595-2636
Fax Number
person
Provider Business Mailing Address Details
Address
6415 W 84Th St
City
Burbank
State
Illinois
Zip
60459-2412
Phone Number
708-595-2636
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209.029010 (Illinois)
Definition
Definition to come...
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