MEDICARE: MUHAMMAD ALVI MD SC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	036087467	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1568662682
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MUHAMMAD ALVI MD SC

Provider Business Mailing Address
First Line	:	5214 N WESTERN AVE
Second Line	:	SUITE 102
City	:	CHICAGO
State	:	IL
Zip	:	60625-2589
Country	:	US
Telephone Number	:	773-784-1000
Fax Number	:	773-784-1398

Provider Business Practice Location Address
First Line	:	5214 N WESTERN AVE
Second Line	:	SUITE 102
City	:	CHICAGO
State	:	IL
Zip	:	60625-2589
Country	:	US
Telephone Number	:	773-784-1000
Fax Number	:	773-784-1398

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	OLEG IVANOV
Credential	:
Telephone Number	:	773-784-1000

Provider Enumeration Date	:	07/18/2007
Last Update Date	:	06/18/2008

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