North Suburban Nephrology LLC

NPI #1801041645 in Gurnee, Illinois

Provider Information

NPI Number: 1801041645
Entity Type: Organization
Organization Name: North Suburban Nephrology LLC
Primary Specialty: Specialist
Enumeration Date: Nov 20, 2008
Last Updated: Apr 12, 2022

Practice Location

Address: 1425 N HUNT CLUB RD STE 301
City: Gurnee
State: Illinois
ZIP Code: 60031-2639
Phone: (847) 855-9252

Authorized Official

Name: DR. WALID N GHANTOUS, MD
Title: CEO MEMBER
Phone: (847) 446-3200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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