Organization Active NPI

Ghani Medical Center, MD SC

  • Allergy & Immunology (Internal Medicine) Physician
  • Palos Heights, IL
National Provider Identifier
1083855811
Registry record updated Mar 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology (Internal Medicine) PhysicianTaxonomy code 207RA0201X
License
036-050567 Issued in IL
Legal business name
GHANI MEDICAL CENTER, MD SC
Practice address
7808 W College Dr
Suite 1SW
Palos Heights, IL 60463-1027
Phone
(708) 361-0730
Fax
(708) 361-0740
NPI assigned
Mar 6, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nina Thompson
Title
Office Manager
Phone
(708) 344-3550

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0201X 036-050567 IL Primary
Allergy & Immunology (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RA0201X 085-001419 IL

Addresses

Primary practice location

7808 W College Dr
Suite 1SW
Palos Heights, IL 60463-1027

Mailing address

10001 W Roosevelt Rd
Suite 304
Westchester, IL 60154-2664
Phone (708) 344-3550

Other identifiers 2

IdentifierTypeStateIssuer
216213036OtherILBC/BS
6046301MedicaidIL

Other names 1

  • Allergy & CL Immunology Center Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Allergy CL Immunology3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236297600000",
    "number": "1083855811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 W ROOSEVELT RD",
            "address_2": "SUITE 304",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601542664",
            "telephone_number": "708-344-3550",
            "fax_number": "708-344-6577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7808 W COLLEGE DR",
            "address_2": "SUITE 1SW",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631027",
            "telephone_number": "708-361-0730",
            "fax_number": "708-361-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHANI MEDICAL CENTER, MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-06",
        "last_updated": "2009-03-06",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "708-344-3550"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "IL",
            "license": "036-050567",
            "primary": true
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "IL",
            "license": "085-001419",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "216213036",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6046301",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy & CL Immunology Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Palos Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.