Individual
GHAITH SHAAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 GREEN BAY RD, NORTH CHICAGO, IL 60064-3037
(847) 578-3227
(847) 578-8647
Mailing address
29521 N WAUKEGAN RD, APT 112, LAKE BLUFF, IL 60044-5436
(510) 730-5174
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125.065359
IL
Other
Enumeration date
09/26/2014
Last updated
09/26/2014
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