Individual
NATHAN PHILIP GHANTOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
53 W JACKSON BLVD STE 1615, CHICAGO, IL 60604-3722
(312) 898-1840
Mailing address
53 W JACKSON BLVD STE 1615, CHICAGO, IL 60604-3722
(312) 898-1840
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.115919
IL
Other
Enumeration date
01/29/2025
Last updated
01/29/2025
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