| Ehtesham J Ghani Md Sc | |
|
9223 Ogden Avenue Brookfield IL 60513 | |
| (708) 485-4050 | |
| (708) 485-9216 |
| Full Name | Ehtesham J Ghani Md Sc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9223 Ogden Avenue, Brookfield, Illinois |
| Authorized Official Name and Position | Ehtesham J Ghani (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7084854050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ehtesham J Ghani Md Sc 9223 Ogden Avenue Brookfield IL 60513 Ph: (708) 485-4050 | Ehtesham J Ghani Md Sc 9223 Ogden Avenue Brookfield IL 60513 Ph: (708) 485-4050 |
| NPI Number | 1508076225 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 04/02/2014 |
| Medicare PECOS PAC ID | 9537125265 |
|---|---|
| Medicare Enrollment ID | O20041206000006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508076225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 036092503 (Illinois) | Primary |
| Provider Name | Ehtesham J Ghani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316988397 PECOS PAC ID: 4880650514 Enrollment ID: I20041208000808 |
V.r. Kuchipudi, M.d., S.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3101 Maple Ave, Brookfield, IL 60513 Phone: 708-387-0121 Fax: 708-387-0129 | |
The Family Doctors Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8905 Burlington Ave, Brookfield, IL 60513 Phone: 708-387-7000 Fax: 708-387-7001 | |
Brook Park Medical Associates S C Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3101 Maple Ave, Brookfield, IL 60513 Phone: 708-387-0121 Fax: 708-387-0129 |