WALID NASRI GHANTOUS (NPI# 1780662254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780662254 |
| Entity Type | Individual |
| Full Name | WALID NASRI GHANTOUS |
| Credential | M.D. |
| Practice Address |
101 S Greenleaf St Gurnee IL 60031-3369 |
| Mailing Address |
343 Ridge Rd Wilmette IL 60091-3251 |
| Practice Telephone | 8474463200 |
| Practice Fax Number | 8474462934 |
| Mailing Telephone | 8474463200 |
| Mailing Fax Number | 8474462934 |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2012-09-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
036-044591 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
101 S GREENLEAF ST |
| City | GURNEE |
| State | IL |
| Zip Code | 60031-3369 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306188305 | Gurnee Orthodontics LLC | Dentist | 101 S Greenleaf St, Unit E, Gurnee, IL 60031-3369 | 2013-03-18 |
| 1649371410 | Ross M Johnsen | Dentist | 101 S Greenleaf St, Suite E, Gurnee, IL 60031-3369 | 2006-09-26 |
| 1235230012 | Dennis J Dobrin | Dentist | 101 S Greenleaf St, Suite E, Gurnee, IL 60031-3369 | 2006-09-26 |
| 1376644112 | William G Dobrin | Dentist | 101 S Greenleaf St, Suite E, Gurnee, IL 60031-3369 | 2006-09-26 |
| 1336240191 | John D Siekmann | Dentist | 101 S Greenleaf St, Suite E, Gurnee, IL 60031-3369 | 2006-09-26 |
| 1881795656 | Duc Hien Chung | Dentist | 101 S Greenleaf St, Suite E, Gurnee, IL 60031-3369 | 2006-09-26 |
| 1346341138 | Matthew J Tobkin | Dentist | 101 S Greenleaf St, Suite E, Gurnee, IL 60031-3369 | 2006-09-26 |
| 1831206366 | Associates for Family Dentistry, Ltd | Dentist | 101 S Greenleaf St, Suite E, Gurnee, IL 60031-3369 | 2006-08-23 |
| 1518073444 | National Medical Care Inc | Clinic/Center | 101 S Greenleaf St, Suite B, Gurnee, IL 60031-3369 | 2006-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881174720 | Rockelle Waggoner | Behavioral Analyst | 489 Tanglewood Dr, Gurnee, IL 60031 | 2018-08-20 |
| 1316434376 | Lake County Internal Medicine Assoc LLC | Non-Pharmacy Dispensing Site | 15 Tower Ct., Ste 190, Gurnee, IL 60031 | 2018-04-16 |
| 1588163364 | Advanced Endodontics, PC | Dentist | 103 S. Greenleaf Street, Suite K, Gurnee, IL 60031 | 2018-02-07 |
| 1578081550 | Northshore Medical Consultants, Ltd | Family Medicine | 1425 Hunt Club Rd. #302, Gurnee, IL 60031 | 2017-08-30 |
| 1336678739 | Sarah Beth Fugelseth | Nurse Practitioner | 1445 N Hunt Club Rd Ste 304, Gurnee, IL 60031 | 2017-06-08 |
| 1174079867 | Lifecarepros, LLC | In Home Supportive Care | 223 North Route 21, Gurnee, IL 60031 | 2016-09-01 |
| 1740733195 | Ryan Lee Winslow | Chiropractor | 6021 Washington St, Unit B, Gurnee, IL 60031 | 2016-08-02 |
| 1891129599 | Smart Scan Mri, LLC | Clinic/Center | 350 S. Greenleaf, Suite 401, Gurnee, IL 60031 | 2013-08-29 |
| 1568720076 | Yudelca Romano | Genetic Counselor, MS | 1125 Tri State Parkway, Gurnee, IL 60031 | 2012-05-03 |
| 1558637348 | Laura E Novak | Social Worker | 4212 Old Grand Avenue, Gurnne, IL 60031 | 2012-03-27 |
| Find all providers in zip 60031 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366551632 | Salima Din | Internal Medicine | 1445 North Huntclub Road, Gurnee, IL 60031 | 2006-08-30 |
| 1083689079 | Rakhi Khanna | Internal Medicine | 1445 N Hunt Club Rd Ste 201, Gurnee, IL 60031-2603 | 2006-02-22 |
| 1154563724 | Leon Michael Sujata | Internal Medicine | 1445 N Hunt Club Rd Ste 201, Gurnee, IL 60031-2603 | 2009-03-29 |
| 1508033226 | Nino Alapishvili | Internal Medicine | 1445 N Hunt Club Rd Ste 201, Gurnee, IL 60031-2603 | 2008-05-12 |
| 1477618155 | Omaima Degani | Internal Medicine | 1445 N Hunt Club Rd, Suite 201, Gurnee, IL 60031-2603 | 2006-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154987618 | Kireet Agrawal Incorporated | Internal Medicine | 17680 Kedzie Ave Ste 201, Hazel Crest, IL 60429-2088 | 2019-05-10 |
| 1235627332 | Chicago Nephrology Associates, LLC | Internal Medicine | 3023 N Clark St #302, Chicago, IL 60657 | 2018-04-25 |
| 1619328820 | Nay Seif | Internal Medicine | 675 N Saint Clair St Ste 250, Chicago, IL 60611-5975 | 2016-06-29 |
| 1447611389 | Skyline Medical Associates LLC | Internal Medicine | 100 E 14th St Apt 1907, Chicago, IL 60605-3673 | 2016-03-18 |
| 1013301605 | Anand Ramadorai | Internal Medicine | 1550 N Northwest Hwy Ste 303, Park Ridge, IL 60068-1460 | 2015-03-23 |
| 1578955654 | R. Gandhi Md S C | Internal Medicine | 602 N East Ave, Oak Park, IL 60302-1716 | 2015-02-25 |
| 1619389715 | Kidney Care Center Olympia Fields LLC | Internal Medicine | 3302 Vollmer Rd, Olympia Fields, IL 60461-1179 | 2014-05-22 |
| 1548687783 | Salim Mujais | Internal Medicine | 2742 The Mews, Northbrook, IL 60062-2617 | 2014-03-26 |
| 1972936581 | Marshall David Lindheimer | Internal Medicine | 5807 S Dorchester Ave, 5e, Chicago, IL 60637-1729 | 2013-08-19 |
| 1649616822 | Bun Siu L. Co | Internal Medicine | 838 Highland Rd., Frankfort, IL 60423 | 2013-05-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.