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Organization

EHTESHAM J GHANI MD SC

Active
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Organization

EHTESHAM J GHANI MD SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EHTESHAM J GHANI M.D (CLINICAL DIRECTOR)
(224) 777-8045
Entity
Organization

Contact information

Practice address
9223 OGDEN AVE, BROOKFIELD, IL 60513-1944
(708) 485-4050
(708) 485-9216
Mailing address
9223 OGDEN AVE, BROOKFIELD, IL 60513-1944
(708) 485-4050
(708) 485-9216

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036092503
IL

Other

Enumeration date
05/23/2007
Last updated
08/10/2026
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