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Contact Information

QURAISH GHADIALI, MD
1969 W OGDEN AVE
CHICAGO, IL60612
 Phone: 312-864-6000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Retina Specialist

207WX0107X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for QURAISH GHADIALI · (Male)

NPI Number 1942591433
Status Active
Credentials MD
Entity Individual
Enumeration date 05/02/2011
Last updated 04/23/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-142935
  • IL License # 036.142935
Hospital affiliation(s)
  • JOHN H STROGER JR HOSPITAL - (Acute Care)
    1901 W HARRISON ST
    CHICAGO, IL 60612
  • PROVIDENT HOSPITAL OF CHICAGO - (Acute Care)
    500 E 51ST ST
    CHICAGO, IL 60615
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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