North Suburban Nephrology LLC
Specialist · Gurnee, IL
Practice location
1425 N Hunt Club Rd Ste 301Gurnee, IL 60031-2639
- Phone
- (847) 855-9252
- Fax
- (847) 855-5215
NPI record
- NPI
- 1801041645
- Entity type
- Organization (Type 2)
- Enumeration date
- November 20, 2008
- Last updated
- April 12, 2022
- Certified
- April 12, 2022
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X |
01553437 | IL |
Mailing address
120 W 22ND St Ste 200Oak Brook, IL 60523-1563
- Phone
- (630) 573-5000
Authorized official
- Name
- Dr. Walid N Ghantous, MD
- Title
- CEO Member
- Phone
- (847) 446-3200
About North Suburban Nephrology LLC
North Suburban Nephrology LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 1425 N Hunt Club Rd Ste 301, Gurnee, IL 60031-2639. The NPI number 1801041645 was assigned on November 20, 2008 and the record was last updated on April 12, 2022.
North Suburban Nephrology LLC lists a license in the registry: #01553437 (IL) for Specialist. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Dr. Walid N Ghantous, MD, CEO Member.
Frequently asked questions
What is the NPI number of North Suburban Nephrology LLC?
The NPI number is 1801041645.
What is the phone number of North Suburban Nephrology LLC?
The phone number listed for the practice location is (847) 855-9252.
Where is North Suburban Nephrology LLC located?
1425 N Hunt Club Rd Ste 301, Gurnee, IL 60031-2639.
What is the taxonomy code for North Suburban Nephrology LLC?
The primary taxonomy code is 174400000X – Specialist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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