Healthcare Provider Details

I. General information

NPI: 1215545660
Provider Name (Legal Business Name): GHIRRI HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2020
Last Update Date: 07/21/2020
Certification Date: 07/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9101 FALCON RIDGE DR
BRIDGEVIEW IL
60455-2608
US

IV. Provider business mailing address

9101 FALCON RIDGE DR
BRIDGEVIEW IL
60455-2608
US

V. Phone/Fax

Practice location:
  • Phone: 872-210-7324
  • Fax:
Mailing address:
  • Phone: 872-210-7324
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number
License Number State

VIII. Authorized Official

Name: MR. MUHANNED GHIRRI
Title or Position: PRESIDENT
Credential: SA-C, MPH, MSC
Phone: 872-210-7324