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Fares Ghanem, MD
Student in an Organized Health Care Education/Training Program in Springfield, Illinois
NPI 1700494754

Fares Ghanem is a Student in an Organized Health Care Education/Training Program based in Johnson City, IL. Fares Ghanem practices in Springfield, IL and has the professional credentials of MD. The NPI Number for Fares Ghanem is 1700494754 and holds a License No. (Illinois).

The current practice location address for Fares Ghanem is 751 N 1St St, Springfield, IL and can be reached out via phone at 423-427-0045.

Location: 751 N 1St St, Springfield, IL, 37604-6056
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700494754
Provider Name
Fares Ghanem
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
751 N 1St St, Springfield, IL, 37604-6056
Phone Number
423-427-0045
Fax Number
Provider Enumeration Date
07/16/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
751 N 1St St
City
Springfield
State
Illinois
Zip
62702
Phone Number
423-427-0045
Fax Number
person
Provider Business Mailing Address Details
Address
751 N 1St St
City
Springfield
State
Illinois
Zip
62702
Phone Number
423-427-0045
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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