Individual
DR. ABDUL GHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17850 KEDZIE AVE STE 3250, HAZEL CREST, IL 60429-2082
(708) 799-8700
(708) 957-1830
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-6458
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036-093993
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036093993
—
IL
01
—
060071274
PALMETTO GBA INDIVIDUAL #
IL
01
—
21622931
BCBS GROUP #
IL
01
—
526200
MEDICARE GROUP #
IL
01
—
CI8250
PALMETTO GROUP #
IL
Enumeration date
08/26/2005
Last updated
04/03/2023
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