Mutaz Amine
Dentist, General Practice in Burbank, IL. Individual provider (NPI-1).
NPI number1528544707
StatusActive
Last updated in NPPESJul 11, 2018
Details
- NPI
- 1528544707
- Entity type
- Individual (NPI-1)
- Name
- Mutaz Amine
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 11, 2018
- Last updated
- Jul 11, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 019031754 | IL | Yes |
Practice location
7714 S Cicero AveBurbank, IL 60459-1583
Phone 708-636-3368
Mailing address
6518 Fox LnPalos Heights, IL 60463-2277
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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