Provider Demographics
NPI:1548468127
Name:GHANI, AMBEREEN (MD)
Entity type:Individual
Prefix:
First Name:AMBEREEN
Middle Name:
Last Name:GHANI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2500 W HIGGINS RD
Mailing Address - Street 2:STE 400
Mailing Address - City:HOFFMAN ESTATES
Mailing Address - State:IL
Mailing Address - Zip Code:60169-2044
Mailing Address - Country:US
Mailing Address - Phone:847-490-6817
Mailing Address - Fax:847-490-6819
Practice Address - Street 1:959 WEST GOLF ROAD
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60194-1329
Practice Address - Country:US
Practice Address - Phone:847-490-6817
Practice Address - Fax:847-490-6819
Is Sole Proprietor?:No
Enumeration Date:2007-07-05
Last Update Date:2021-10-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL036116124207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine