Ghani Medical Center, MD SC

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

1425 N McLean Blvd
Suite 100
Elgin, IL 60123-5723

Phone

(847) 931-1999

Fax

(847) 931-1721

NPI assigned

Mar 3, 2009

Organization subpart

No

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 4

Addresses

Other identifiers 2

Other names 1

• Allergy & CL Immunology Former legal business name

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.

• Ghani Medical Center, MD SC

  • Allergy & Immunology (Internal Medicine) Physician
  • Palos Heights, IL
  • NPI 1083855811
  NPD tax ID
• Ghani Medical Center, MD SC

  • Allergy & Immunology (Internal Medicine) Physician
  • Westchester, IL
  • NPI 1750522710
  NPD tax ID

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236038400000",
    "number": "1598905515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 N MCLEAN BLVD",
            "address_2": "SUITE 100",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235723",
            "telephone_number": "847-931-1999",
            "fax_number": "847-931-1721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 N MCLEAN BLVD",
            "address_2": "SUITE 100",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601235723",
            "telephone_number": "847-931-1999",
            "fax_number": "847-931-1721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHANI MEDICAL CENTER, MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-03",
        "last_updated": "2009-03-03",
        "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": "036-094388",
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "IL",
            "license": "209006436",
            "primary": false
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "IL",
            "license": "085-001462",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036050567",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "1617643",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy & CL Immunology",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lindsay Christine Gerhardt, B.A/ B.S
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• Jennifer Getzelman
• Geeti Ghosh, M.D.
• Mohamed Kaseer Ghumra, MD
• Daniel James Gibadlo
• Christina Elizabeth Gibbs-Railey
• Shawana Gibson

• Allergy & Immunology (Internal Medicine) Physician in Elgin, IL
• Providers in Elgin, IL by specialty
• Allergy & Immunology (Internal Medicine) Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.