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General NPI Number Information
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NPI Number | 1598905515
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Entity Type | Organization
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Legal Business Name | GHANI MEDICAL CENTER, MD SC
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Dates
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Enumeration Date | 03/03/2009
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Last Update Date | 03/03/2009
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Provider Practice Location Address
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Address Line | 1425 N MCLEAN BLVD SUITE 100
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City | ELGIN
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State | IL
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Zip | 60123-5723
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Country | US
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Telephone | 847-931-1999
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Fax | 847-931-1721
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Provider Business Mailing Address
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Address Line | 1425 N MCLEAN BLVD SUITE 100
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City | ELGIN
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State | IL
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Zip | 60123-5723
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Country | US
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Telephone | 847-931-1999
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Fax | 847-931-1721
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | NINA THOMPSON
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Credential |
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Telephone | 708-344-3550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number | 036-094388
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number | 209006436
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number | 085-001462
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 207RA0201X
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Taxonomy Name | Allergy & Immunology (Internal Medicine) Physician
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License Number | 036-050567
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License Number State | IL
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