Allergy & CL Immunology Center
Organization Active NPI Allergy & Immunology (Internal Medicine) Physician · Westchester, IL
NPI 1043471899 · NPPES record last updated Oct 7, 2008
Key facts
- NPI
- 1043471899
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Allergy & Immunology (Internal Medicine) Physician 207RA0201X
- License
- 036050567 (IL)
- Legal business name
- ALLERGY & CL IMMUNOLOGY CENTER
- Practice address
- 10001 W Roosevelt Rd
Suite 304
Westchester, IL 60154-2664 - Phone
- (708) 344-3550
- Fax
- (708) 344-6577
- NPI assigned
- Jun 24, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Mohammad Tariq Ghani, MD
- Title
- President
- Phone
- (847) 931-1999
Practitioners 1
-
Muhammad T K Ghani, M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology (Internal Medicine) Physician |
207RA0201X | 036050567 | IL | Yes |
Addresses
Primary practice location
10001 W Roosevelt Rd
Suite 304
Westchester, IL 60154-2664
Mailing address
10001 W Roosevelt Rd
Suite 304
Westchester, IL 60154-2664
Phone (708) 344-3550
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1617646 | Other | IL | BLUE CROSS BLUE SHIELD OF ILLINOIS |
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All providers in Westchester, IL · Allergy & Immunology (Internal Medicine) Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.