Provider Demographics
NPI:1477534576
Name:ALBEHEARY, GHADA (MD)
Entity Type:Individual
Prefix:DR
First Name:GHADA
Middle Name:
Last Name:ALBEHEARY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:980 N MICHIGAN AVE
Mailing Address - Street 2:SUITE #1083
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-4501
Mailing Address - Country:US
Mailing Address - Phone:312-202-9601
Mailing Address - Fax:312-202-9607
Practice Address - Street 1:980 N MICHIGAN AVE
Practice Address - Street 2:SUITE #1083
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-4501
Practice Address - Country:US
Practice Address - Phone:312-202-9601
Practice Address - Fax:312-202-9607
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-07
Last Update Date:2017-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361023552084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL213509Medicare PIN
ILI38238Medicare UPIN
IL213509Medicare PIN