Organization
B H ADELSON & W GHANTOUS PTR NORTH SUBURBAN NEPHROLOGISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALID N GHANTOUS MD (CEO)
(847) 673-1375
Entity
Organization
Contact information
Practice address
1445 N HUNT CLUB RD STE 201, GURNEE, IL 60031-2603
(847) 673-1375
Mailing address
343 RIDGE RD STE A, WILMETTE, IL 60091-3251
(847) 673-1375
(847) 256-3614
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
IL
Other
Enumeration date
02/27/2008
Last updated
06/11/2008
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