| Organization Name: | GHANI MEDICAL CENTER, MD SC |
| NPI Number: | 1083855811 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NINA THOMPSON (OFFICE MANAGER) |
| Mailing Address: | 7808 W College Dr Suite 1sw Palos Heights |
| State: | IL US |
| Postal Code: | 604631027 |
| Phone Number: | 7083610730 |
| Fax Number: | 7083610740 |
| NPI Enumeration Date: | 03/06/2009 |
| NPI Last Update Date: | 03/06/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RA0201X |
| License Number: | 085-001419 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Allergy & Immunology |
| Taxonomy Definition: | An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. |