MEDICARE: DR. ALI EL GHAZZAOUI MD

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	2088P0231X	Pediatric Urology Physician	036163784	IL

General Provider Information

NPI Number	:	1881383404
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALI EL GHAZZAOUI MD

Provider Business Mailing Address
First Line	:	9581 WESTWOOD DR
Second Line	:
City	:	WESTMINSTER
State	:	CA
Zip	:	92683-6949
Country	:	US
Telephone Number	:	647-404-7544
Fax Number	:

Provider Business Practice Location Address
First Line	:	420 NE GLEN OAK AVE
Second Line	:
City	:	PEORIA
State	:	IL
Zip	:	61603-3106
Country	:	US
Telephone Number	:	647-404-7544
Fax Number	:

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

Provider Enumeration Date	:	05/01/2023
Last Update Date	:	05/01/2023

Similar Medicare Providers

1396338570 — AUNT MARTHA'S HEALTH AND WELLNESS, INC.
Practice Location Address:

420 NE GLEN OAK AVE FL 1
PEORIA, IL
61603-3106

Practice Phone: 877-692-8686
Practice Fax: 708-747-8024

1700539517 — AUNT MARTHA'S HEALTH AND WELLNESS, INC.
Practice Location Address:

420 NE GLEN OAK AVE FL 1
PEORIA, IL
61603-3106

Practice Phone: 877-692-8686
Practice Fax: 708-747-8024

1639891567 — SARAH E. DEIG RDN, LDN
Practice Location Address:

420 NE GLEN OAK AVE
PEORIA, IL
61603-3106

Practice Phone: 309-624-2647
Practice Fax:

1952135576 — SAVANNA JAYE SNOW PA-C
Practice Location Address:

420 NE GLEN OAK AVE
PEORIA, IL
61603-3106

Practice Phone: 618-218-8241
Practice Fax:

1073650305 — TERESA ANN RYAN NP
Practice Location Address:

9015 W UNION HILLS DR STE 107-559
PEORIA, AZ
85382-3106

Practice Phone: 928-569-3238
Practice Fax: 480-900-8597

1982354940 — AMY FORSBERG, LCPC, LLC
Practice Location Address:

3106 N SHERWOOD AVE
PEORIA, IL
61604-1339

Practice Phone: 309-648-4941
Practice Fax:

Directions to “ DR. ALI EL GHAZZAOUI MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.