North Suburban Nephrology LLC
NPI 1801041645ActiveOrganization· Specialist· Gurnee, IL
Specialist in Gurnee, Illinois, registered in NPPES in November 2008. The authorized official on file is Walid N. Ghantous, MD, Ceo Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1801041645 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 20, 2008 |
| Last updated in NPPES | Apr 12, 2022 |
| Certified by provider | Apr 12, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | 01553437 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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