Individual provider · Type 1 NPI

Ayyah Samir Ghouleh

Family Nurse Practitioner · Burbank, IL

NPI number 1649049230 Active

Practice location

6415 W 84th St
Burbank, IL 60459-2412

Call (708) 595-2636 Map

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209.029010 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1649049230

Ayyah Samir Ghouleh's National Provider Identifier is 1649049230, issued on Dec 25, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Burbank, IL. The record was last updated on Dec 25, 2023.