MEDICARE: NADA ALI

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	106S00000X	Behavior Technician	A40062003747	IL

General Provider Information

NPI Number	:	1689555344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NADA ALI

Provider Business Mailing Address
First Line	:	432 GREENBRIAR DR
Second Line	:
City	:	GLENDALE HTS
State	:	IL
Zip	:	60139-4506
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4050 HEALTHWAY DR STE 110
Second Line	:
City	:	AURORA
State	:	IL
Zip	:	60504-8184
Country	:	US
Telephone Number	:	630-888-1443
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/09/2025
Last Update Date	:	03/24/2026

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Directions to “ NADA ALI ” Practice Location

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