Individual
DR. WAEL GHALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1718
(847) 570-1010
Mailing address
2650 RIDGE AVE, EVANSTON, IL 60201-1718
(847) 570-1010
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA08175700
NJ
208M00000X
Hospitalist Physician
Primary
041702
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001417022
—
IL
01
—
041702
CT PHYSICIAN LICENSE
CT
01
—
33840
CT CSR
CT
Enumeration date
12/28/2006
Last updated
04/12/2024
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