Individual
GHAZWAN SHAAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1425 N RANDALL RD, ELGIN, IL 60123-2300
(312) 609-0300
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.151908
IL
208M00000X
Hospitalist Physician
036.151908
IL
Other
Enumeration date
03/31/2017
Last updated
05/04/2022
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