| Doctor Name: | MOHAMMAD T.K. GHANI |
| NPI Number: | 1194739268 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | |
| Business Practice Address: | 10001 W Roosevelt Rd Suite 304 Westchester, IL - 601542664 |
| Business Phone Number: | 7083443550 |
| Business Fax Number: | 7083446577 |
| Mailing Address: | 10001 W Roosevelt Rd, Suite 304 WESTCHESTER |
| State: | IL |
| Postal Code: | 601542664 |
| Phone Number: | 7083443550 |
| Fax Number: | 7083446577 |
| NPI Enumeration Date: | 07/27/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207KA0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Allergy & Immunology |
| Taxonomy Specialization: | Allergy |
| Taxonomy Definition: | |