WALID N. GHANTOUS MD LTD (NPI# 1376751982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376751982 |
| Entity Type | Organization |
| Organization Name | WALID N. GHANTOUS MD LTD |
| Practice Address |
1445 N Hunt Club Rd Suite 201 Gurnee IL 60031-2603 |
| Mailing Address |
Po Box 557 Wilmette IL 60091-0557 |
| Practice Telephone | 8478559152 |
| Practice Fax Number | 8478555215 |
| Mailing Telephone | 8474463200 |
| Mailing Fax Number | 8478555215 |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. WALID GHANTOUS (MANAGING PARTNER) |
| Authorized Official Telephone | 8478559152 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | IL | Other Service Providers |
| Street Address |
1445 N HUNT CLUB RD SUITE 201 |
| City | GURNEE |
| State | IL |
| Zip Code | 60031-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790787570 | Timothy J Ryan | Specialist | 1445 N Hunt Club Rd, Suite 103, Gurnee, IL 60031-2603 | 2005-08-11 |
| 1679961163 | Angela Kastl | Nurse Practitioner | 1445 N Hunt Club Rd, Gurnee, IL 60031-2603 | 2015-01-06 |
| 1619383262 | May Arnaiz Suasin | Nurse Practitioner | 1445 N Hunt Club Rd, Gurnee, IL 60031-2603 | 2014-07-03 |
| 1942445630 | Kara N Easton | Nurse Practitioner | 1445 N Hunt Club Rd, Suite 103, Gurnee, IL 60031-2603 | 2008-12-09 |
| 1912192634 | Okner Cardiology Group, LLC | Clinic/Center | 1445 N Hunt Club Rd, 101, Gurnee, IL 60031-2603 | 2007-09-06 |
| 1073704128 | Family Focused Healthcare | Family Medicine | 1445 N Hunt Club Rd, Suite 304, Gurnee, IL 60031-2603 | 2007-08-05 |
| 1043410111 | M P M Family Health Inc. | Family Medicine | 1445 N Hunt Club Rd, Suite 304, Gurnee, IL 60031-2603 | 2007-07-18 |
| 1629199344 | North Suburban Medical Office, Ltd | Clinic/Center | 1445 N Hunt Club Rd, Suite 301, Gurnee, IL 60031-2603 | 2007-04-02 |
| 1821137183 | Vcfe of Lake County, Inc | Surgery | 1445 N Hunt Club Rd, Suite 103, Gurnee, IL 60031-2603 | 2007-02-05 |
| 1477618155 | Omaima Degani | Internal Medicine | 1445 N Hunt Club Rd, Suite 201, Gurnee, IL 60031-2603 | 2006-12-24 |
| Find all providers in the same location | ||||
| 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 | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940100 | Eqmd, Inc. | Specialist | 1800 Nations Dr Ste 216, Gurnee, IL 60031-9174 | 2019-03-05 |
| 1477845907 | Melissa Jo Zizzo | Specialist | 17532 W Stillwater Ct, Gurnee, IL 60031-4507 | 2011-05-02 |
| 1508037201 | Ralph G Frank | Specialist | 1425 N Hunt Club Rd Ste 101, Gurnee, IL 60031-2646 | 2008-03-20 |
| 1235348582 | Children's Health Center, S.c. | Specialist | 15 Tower Ct Ste 100, Gurnee, IL 60031-3336 | 2007-05-22 |
| 1467677948 | Gurnee Physical Medicine Ltd | Specialist | 5415 Grand Ave, Gurnee, IL 60031-4906 | 2007-04-17 |
| 1760504864 | Tien C. Cheng, Md,sc | Specialist | 5101 Washington St Ste 24, Gurnee, IL 60031-2988 | 2007-04-06 |
| 1649301334 | Diabetes Osteoporosis Thyroid Endocrine Center LLC | Specialist | 1425 N Hunt Club Rd Ste 303, Gurnee, IL 60031-2639 | 2007-03-07 |
| 1881742914 | Kathleen Cummings | Specialist | 6206 Eagle Ridge Dr, Gurnee, IL 60031-4713 | 2007-01-08 |
| 1578502159 | Nilesh D Mehta | Specialist | 202 S. Greenleaf Ave Suite E, Cancer Treatment Centers of America, Gurnee, IL 60031 | 2006-06-06 |
| 1609827237 | North Suburban Dermatology Associates,sc | Specialist | 1o3 S Greenleaf St, Suite J, Gurnee, IL 60031-3370 | 2006-05-16 |
| Find all providers in GURNEE | ||||
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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.