Ehtesham J Ghani MD SC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036092503 Issued in IL

Legal business name

EHTESHAM J GHANI MD SC

Practice address

9223 Ogden Ave
Brookfield, IL 60513-1944

Phone

(708) 485-4050

Fax

(708) 485-9216

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ehtesham J Ghani, M.DNPI 1316988397

Title

Clinical Director

Phone

(224) 777-8045

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

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

• Ehtesham J Ghani, MD

  • Internal Medicine Physician
  • Brookfield, IL
  • NPI 1316988397
  Medicare reassignment Authorized official
• Simrun K Gill, MD

  • Family Medicine Physician
  • Pittsburgh, PA
  • NPI 1740468800

  IL

  Medicare reassignment NPD

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786320000000",
    "number": "1508076225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9223 OGDEN AVE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605131944",
            "telephone_number": "708-485-4050",
            "fax_number": "708-485-9216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9223 OGDEN AVE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605131944",
            "telephone_number": "708-485-4050",
            "fax_number": "708-485-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EHTESHAM J GHANI MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A",
        "authorized_official_last_name": "GHANI",
        "authorized_official_first_name": "EHTESHAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "224-777-8045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036092503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber J Dalton, MA, LCPC
• Michelle Heather Daniels, LSW
• Renae Desautel
• Chennel E Dorneker, FNP-C
• Dr Kathleen M Schafer DPM Inc
• Essential Prosthetics and Orthotics
• Family Doctors of Brookfield SC
• Adam Forsythe
• Christopher Forte, DDS
• Laura Foster, SLP

• Internal Medicine Physician in Brookfield, IL
• Providers in Brookfield, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.