Provider Demographics
NPI:1215545660
Name:GHIRRI HEALTH CARE INC
Entity Type:Organization
Organization Name:GHIRRI HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MUHANNED
Authorized Official - Middle Name:
Authorized Official - Last Name:GHIRRI
Authorized Official - Suffix:
Authorized Official - Credentials:SA-C, MPH, MSC
Authorized Official - Phone:872-210-7324
Mailing Address - Street 1:9101 FALCON RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60455-2608
Mailing Address - Country:US
Mailing Address - Phone:872-210-7324
Mailing Address - Fax:
Practice Address - Street 1:9101 FALCON RIDGE DR
Practice Address - Street 2:
Practice Address - City:BRIDGEVIEW
Practice Address - State:IL
Practice Address - Zip Code:60455-2608
Practice Address - Country:US
Practice Address - Phone:872-210-7324
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-21
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical AssistantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1376986547OtherINSURANCES