Organization
GHANI MEDICAL CENTER, MD SC
Active
Organization
GHANI MEDICAL CENTER, MD SC
Active
Other names
Allergy & CL Immunology
Organization subpart
No
Provider details
NPI number
Authorized official
NINA THOMPSON (OFFICE MANAGER)
(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
1425 N MCLEAN BLVD, SUITE 100, ELGIN, IL 60123-5723
(847) 931-1999
(847) 931-1721
Taxonomy
Speciality
Code
Description
License number
State
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
036-050567
IL
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
036-094388
IL
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
085-001462
IL
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
209006436
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036050567
—
IL
01
—
1617643
BC/BS
IL
Enumeration date
03/03/2009
Last updated
03/03/2009
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