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GANJU AND LANTNER MD SC NPI 1235111824


NPI Information

NPI: 1235111824
Provider Name: GANJU AND LANTNER MD SC
Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization
Address:
5600 WOLF RD
SUITE 135
WESTERN SPRINGS, IL
ZIP 60558
Phone: (708) 246-4515
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GANJU AND LANTNER MD SC is an allergy immunology in Western Springs, IL. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. GANJU AND LANTNER MD SC NPI is 1235111824. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5600 WOLF RD
SUITE 135
WESTERN SPRINGS, IL
ZIP 60558-254
Phone: (708) 246-4515
Fax: (708) 246-4502

The provider's authorized official is Abhi Ganju .
The authorized official title is President and has the following contact phone number (708) 246-4515.

The enumeration date for this NPI number is 11/18/2005 and was last updated on 7/9/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207K00000XAllergy & ImmunologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1211183MEDICARE ID-TYPE UNSPECIFIEDILLINOISGROUP #
2D13067MEDICARE UPIN
3E19101MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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