Organization
EHTESHAM J GHANI MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EHTESHAM J GHANI M.D (CLINICAL DIRECTOR)
(708) 485-4050
Entity
Organization
Contact information
Practice address
9223 OGDEN AVENUE, BROOKFIELD, IL 60513
(708) 485-4050
(708) 485-9216
Mailing address
9223 OGDEN AVENUE, BROOKFIELD, IL 60513
(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
04/02/2014
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