Organization
ALLERGY & CL IMMUNOLOGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD TK GHANI M.D. (PRESIDENT)
(708) 344-3550
Entity
Organization
Contact information
Practice address
1425 N MCLEAN BLVD, SUITE 100, ELGIN, IL 60123-5723
(847) 931-1999
(847) 931-1721
Mailing address
10001 W ROOSEVELT RD, SUITE 304, WESTCHESTER, IL 60154-2664
(708) 344-3550
(708) 344-6577
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
036050567
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036050567
—
IL
01
—
1617643
BC/BS
IL
Enumeration date
07/23/2007
Last updated
10/07/2008
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