SAM FATOOREHCHI (NPI# 1770932204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770932204 |
| Entity Type | Individual |
| Full Name | SAM FATOOREHCHI |
| Credential | M.D., MBA |
| Practice Address |
4901 W 79th St Fl 2 Burbank IL 60459-1569 |
| Practice Telephone | 7084991545 |
| Enumeration Date | 2016-06-06 |
| Last Update Date | 2020-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 036.147296 | IL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 125.068516 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 520 N 4th St, Springfield, IL 627025238 | 2175458000 | 2177578161 |
| 722 W Maxwell St # Mc397, Chicago, IL 606075002 | 3124215205 |
| Street Address |
4901 W 79TH ST FL 2 |
| City | BURBANK |
| State | IL |
| Zip Code | 60459-1569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831709153 | Mohammad Ahmad El Ahmad | Nurse Practitioner | 4901 W 79th St Fl 2, Burbank, IL 60459-1569 | 2020-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619475852 | Albina Optometric | Optometrist | The Eye Care Center, Ltd, 8525 S Harlem Ave, Burbank, IL 60459 | 2018-01-23 |
| 1265943583 | Sara Christine De Van | Speech-Language Pathologist | 7600 South Mason Avenue, Burbank, IL 60459 | 2017-10-13 |
| 1710426465 | Nikki Negrete | Specialist/Technologist | 8520 S. Leclaire Ave., Burbank, IL 60459 | 2017-02-14 |
| 1700335734 | Sheefa Pharmacy Inc. | Pharmacy | 8519 S Harlem Avenue, Burbank, IL 60459 | 2016-10-03 |
| 1518325695 | Orthodontic Experts | Dentist | 7820 S. Cicero Ave, Burbank, IL 60459 | 2016-02-04 |
| 1528438306 | Lila Ayyad-alharsha | Behavioral Analyst | 6146 W. State Rd., Burbank, IL 60459 | 2015-10-06 |
| 1467852483 | Chicago Counseling & Training, Inc | Counselor | 4817 W. 83rd Street, Burbank Medical Center, Burbank, IL 60459 | 2014-08-27 |
| 1629344247 | Michael Joseph Fary | Optometrist | 7708 S Cicero Ave, Suite A5, Burbank, IL 60459 | 2012-03-28 |
| 1265732176 | Syeda Kulsoom Ali | Family Medicine | 4901 W 79th St Floor 2, Burbank, IL 60459 | 2010-10-26 |
| 1114119781 | Bonnes and Vasquez, P.C. | Social Worker | 13152 S. Cicero Ave, Pmb 260, Crestwood, IL 60459 | 2007-08-16 |
| Find all providers in zip 60459 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750768685 | Rasha William Atallah | Family Medicine | 4901 W 79th St Ste 10, Burbank, IL 60459-1554 | 2015-04-29 |
| 1477949618 | Ciara L Shirvanian | Family Medicine | 191 S. Buena Vista Street, Suite #100, Burbank, CA 91505-4554 | 2015-04-14 |
| 1346678794 | M & C Physician Solutions PC | Family Medicine | 640 N Keystone St, Suite B, Burbank, CA 91506-1900 | 2013-10-22 |
| 1265732176 | Syeda Kulsoom Ali | Family Medicine | 4901 W 79th St Floor 2, Burbank, IL 60459 | 2010-10-26 |
| 1881915627 | Mahin Ghanevati | Family Medicine | 191 S Buena Vista St Ste 220, Burbank, CA 91505-4563 | 2010-06-16 |
| 1336467620 | Treasa L Davis | Family Medicine | 191 S Buena Vista St Ste 375, Burbank, CA 91505-4558 | 2010-05-11 |
| 1982935268 | Lynn Joseph Ramirez, M.d. Inc. | Family Medicine | 303 S Glenoaks Blvd Ste 4, Burbank, CA 91502-1193 | 2010-01-26 |
| 1538310172 | West Suburban Medical Ctr. | Family Medicine | 8333 South Austin, Burbank, IL 60459-2558 | 2008-10-01 |
| 1952560732 | Liana Poghosyan | Family Medicine | 401 S Glenoaks Blvd Ste 101, Burbank, CA 91502-2707 | 2008-06-05 |
| 1760699193 | Ara Airapetian, M.d., Inc | Family Medicine | 421 E Angeleno Ave Ste 105, Burbank, CA 91501-2286 | 2007-05-16 |
| Find all providers in BURBANK | ||||
Please comment or provide details below to improve the information on SAM FATOOREHCHI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.