Healthcare Provider Details

I. General information

NPI: 1164326534
Provider Name (Legal Business Name): S ALI A QUADRI LPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: ALI QUADRI LPC

II. Dates (important events)

Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6746 HAZEL ST
MORTON GROVE IL
60053-2358
US

IV. Provider business mailing address

6746 HAZEL ST
MORTON GROVE IL
60053-2358
US

V. Phone/Fax

Practice location:
  • Phone: 847-973-6199
  • Fax:
Mailing address:
  • Phone: 847-973-6199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number178.032995
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: