Ghouse, Masood

Ghouse, Masood is an individual health care provider with primary practice located at 3900 W 203Rd St , Olympia Fields IL 60461-1183. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Ghouse, Masood can be contacted via phone (708) 679-2380.

Contact Information

Primary practice address
3900 W 203Rd St Olympia Fields IL 60461-1183
Phone: (708) 679-2380
Fax: (708) 679-2295
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 036129177 Illinois

Profile Details

NPI number 1215120928
LBN Legal business name Ghouse, Masood
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2007
Last updated Mar 20th, 2021 - about 4 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 1215120928 NPPES
Illinois MEDICAID 036129177
Illinois Other F400194061

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