Provider Demographics
NPI:1154067429
Name:GHALAYNI, RUBA AYMAN MAHD (MD)
Entity Type:Individual
Prefix:MISS
First Name:RUBA
Middle Name:AYMAN MAHD
Last Name:GHALAYNI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4201 MEDICAL CENTER DRIVE
Mailing Address - Street 2:NORTHWESTERN MEDICINE MCHENRY HOSPITAL
Mailing Address - City:MCHENRY
Mailing Address - State:IL
Mailing Address - Zip Code:60050
Mailing Address - Country:US
Mailing Address - Phone:815-344-5000
Mailing Address - Fax:
Practice Address - Street 1:4201 MEDICAL CENTER DRIVE
Practice Address - Street 2:NORTHWESTERN MEDICINE MCHENRY HOSPITAL
Practice Address - City:MCHENRY
Practice Address - State:IL
Practice Address - Zip Code:60050
Practice Address - Country:US
Practice Address - Phone:815-344-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-10
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
IL125.079957207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program