Organization
NORTHSIDE NEONATAL AND INFANT CARE SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIVEK GHAI MD (PRESIDENT)
(630) 655-4707
Entity
Organization
Contact information
Practice address
836 W WELLINGTON, CHICAGO, IL 60657
(773) 296-7047
(773) 296-7459
Mailing address
9410 COMPUBILL DRIVE, CHICAGO, IL 60462
(708) 460-7444
(708) 460-8662
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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