Provider Demographics
NPI:1588661656
Name:GHALY, RAMSIS F (MD)
Entity Type:Individual
Prefix:
First Name:RAMSIS
Middle Name:F
Last Name:GHALY
Suffix:
Gender:M
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:PO BOX 967
Mailing Address - Street 2:
Mailing Address - City:TINLEY PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60477-0967
Mailing Address - Country:US
Mailing Address - Phone:708-532-6029
Mailing Address - Fax:708-532-6095
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:630-978-6793
Practice Address - Fax:630-518-3599
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-05
Last Update Date:2021-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-076877207LP2900X
IL036076877207T00000X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL216082001OtherMEDICARE
IL036076877Medicaid
ILG15151Medicare UPIN
ILP00200586Medicare PIN
IL216082001OtherMEDICARE
IL036076877Medicaid