Walid N. Ghantous MD LTD

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

WALID N. GHANTOUS MD LTD

Practice address

1445 N Hunt Club Rd
Suite 201
Gurnee, IL 60031-2603

Phone

(847) 855-9152

Fax

(847) 855-5215

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Walid Ghantous, M.D.NPI 1780662254

Title

Managing Partner

Phone

(847) 855-9152

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Walid Nasri Ghantous, M.D.

  • Nephrology Physician
  • Gurnee, IL
  • NPI 1780662254
  NPD (past) Authorized official
• Omaima Degani, M.D.

  • Nephrology Physician
  • Gurnee, IL
  • NPI 1477618155
  NPD (past)
• Rakhi Khanna, D.O

  • Nephrology Physician
  • Gurnee, IL
  • NPI 1083689079
  NPD (past)

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376751982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 557",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600910557",
            "telephone_number": "847-446-3200",
            "fax_number": "847-855-5215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 N HUNT CLUB RD",
            "address_2": "SUITE 201",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600312603",
            "telephone_number": "847-855-9152",
            "fax_number": "847-855-5215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALID N. GHANTOUS MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GHANTOUS",
        "authorized_official_first_name": "WALID",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "847-855-9152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rockelle Waggoner
• Peter Joseph Waidzunas, D.D.S.
• Cynthia A Wait, M.D.
• Walgreen Co
• Walgreen Co
• Walk & Play Therapy, Inc.
• Robert Allen Walker, PHYSICAL THERAPIST
• Sean Walker, D.C.
• Walmart Inc.
• Walter I. Fried PH.D., M.D., S.C.

• All providers in Gurnee, IL
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.