Organization
WALID N. GHANTOUS MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALID GHANTOUS M.D. (MANAGING PARTNER)
(847) 855-9152
Entity
Organization
Contact information
Practice address
1445 N HUNT CLUB RD, SUITE 201, GURNEE, IL 60031-2603
(847) 855-9152
(847) 855-5215
Mailing address
PO BOX 557, WILMETTE, IL 60091-0557
(847) 446-3200
(847) 855-5215
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
05/18/2007
Last updated
08/22/2020
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