Healthcare Provider Details

I. General information

NPI: 1588661656
Provider Name (Legal Business Name): RAMSIS F GHALY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2005
Last Update Date: 04/14/2025
Certification Date: 04/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4260 WESTBROOK DR SUITE 127
AURORA IL
60504-8136
US

IV. Provider business mailing address

PO BOX 967
TINLEY PARK IL
60477-0967
US

V. Phone/Fax

Practice location:
  • Phone: 630-978-6793
  • Fax: 630-518-3599
Mailing address:
  • Phone: 708-532-6029
  • Fax: 708-532-6095

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207LP2900X
TaxonomyPain Medicine (Anesthesiology) Physician
License Number036-076877
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number036076877
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number036076877
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: