Ghannam, Necholas

Ghannam, Necholas is an individual health care provider with primary practice located at 9831 S Western Ave , Chicago IL 60643-1740. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ghannam, Necholas can be contacted via phone (773) 445-3500.

Contact Information

Primary practice address
9831 S Western Ave Chicago IL 60643-1740
Phone: (773) 445-3500
Fax: (773) 445-1931
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 036112505 Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036112505 Illinois

Profile Details

NPI number 1962480541
LBN Legal business name Ghannam, Necholas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Jan 2nd, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962480541 NPPES
Illinois MEDICAID 036112505

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