B H Adelson & W Ghantous PTR North Suburban Nephrologists

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

B H ADELSON & W GHANTOUS PTR NORTH SUBURBAN NEPHROLOGISTS

Practice address

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

Phone

(847) 673-1375

NPI assigned

Feb 27, 2008

Last updated

Jun 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Walid N Ghantous, MDNPI 1780662254

Title

Ceo

Phone

(847) 673-1375

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Walid Nasri Ghantous, M.D.

  • Nephrology Physician
  • Gurnee, IL
  • NPI 1780662254
  NPD (past) Authorized official
• 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": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213142400000",
    "number": "1447429030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 RIDGE RD STE A",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600913251",
            "telephone_number": "847-673-1375",
            "fax_number": "847-256-3614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 N HUNT CLUB RD STE 201",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600312603",
            "telephone_number": "847-673-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B H ADELSON & W GHANTOUS PTR NORTH SUBURBAN NEPHROLOGISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-06-11",
        "status": "A",
        "authorized_official_last_name": "GHANTOUS",
        "authorized_official_first_name": "WALID",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-673-1375",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Augusta, NP
• Bibiana Aulenta, PHARMD
• Neal Richard G Austria, ATC
• Nuha Awad, PHARMD
• Rachel P Azriel, MD
• Christina R Bach, APN
• Back 2 Health Inc.
• William L Bacon, DDS
• Edward Badal Badal, M.D.
• Jalal S Baig, M.D.

• Specialist in Gurnee, IL
• Providers in Gurnee, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2008; 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.