Provider Demographics
NPI:1376592907
Name:RAMSIS GHALY MD SC
Entity Type:Organization
Organization Name:RAMSIS GHALY MD SC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAMSIS
Authorized Official - Middle Name:
Authorized Official - Last Name:GHALY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:630-978-7500
Mailing Address - Street 1:4260 WESTBROOK DR
Mailing Address - Street 2:SUITE 127
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60504-8136
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4260 WESTBROOK DR
Practice Address - Street 2:SUITE 127
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60504-8136
Practice Address - Country:US
Practice Address - Phone:630-978-7500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-10
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological SurgeryGroup - Multi-Specialty
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0002232543OtherBC BS
ILIL3085Medicare PIN
IL209953Medicare PIN
ILDC9592Medicare PIN