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Masood Ghouse
Hematology & Oncology Physician in Olympia Fields, Illinois
NPI 1215120928

Masood Ghouse is a Hematology & Oncology Physician based in Greenwood, IL and is specialized in Hematology & Oncology. Masood Ghouse practices in Olympia Fields, IL. The NPI Number for Masood Ghouse is 1215120928 and holds a License No. 036129177 (Illinois).

The current practice location address for Masood Ghouse is 3900 W 203Rd St, Olympia Fields, IL and can be reached out via phone at 708-679-2380 and via fax at 708-679-2295. You can also correspond with Masood Ghouse through the mailing address at 1040 SIERRA DR, GREENWOOD, IN - 46143-7240 (mailing address contact number: 317-528-4868).

Location: 3900 W 203Rd St, Olympia Fields, IL, 46143-7240
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215120928
Provider Name
Masood Ghouse
Credential
Provider Entity Type
Individual
Gender
Male
Address
3900 W 203Rd St, Olympia Fields, IL, 46143-7240
Phone Number
708-679-2380
Fax Number
708-679-2295
Provider Enumeration Date
08/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036129177 05 IL
F400194061 01 IL MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
3900 W 203Rd St
City
Olympia Fields
State
Illinois
Zip
60461-1183
Phone Number
708-679-2380
Fax Number
708-679-2295
person
Provider Business Mailing Address Details
Address
3900 W 203Rd St
City
Olympia Fields
State
Illinois
Zip
60461-1183
Phone Number
708-679-2380
Fax Number
708-679-2295
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
036129177 (Illinois)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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