Ghouleh, Ayyah Samir

Ghouleh, Ayyah Samir is an individual health care provider with primary practice located at 6415 W 84Th St , Burbank IL 60459-2412. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ghouleh, Ayyah Samir can be contacted via phone (708) 595-2636.

Contact Information

Primary practice address
6415 W 84Th St Burbank IL 60459-2412
Phone: (708) 595-2636
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.029010 Illinois

Profile Details

NPI number 1649049230
LBN Legal business name Ghouleh, Ayyah Samir
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 25th, 2023
Last updated Dec 25th, 2023 - about 2 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.

Request for update

Popular Providers