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General NPI Number Information
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NPI Number | 1760696314
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Entity Type | Individual
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Provider Name | ALI A VALIKA MD
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Gender | Male
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 11/18/2021
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Provider Practice Location Address
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Address Line | 133 E BRUSH HILL RD SUITE # 202
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City | ELMHURST
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State | IL
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Zip | 60126-5658
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Country | US
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Telephone | 630-782-4050
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Fax |
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Provider Business Mailing Address
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Address Line | 827 WOODBINE AVE
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City | OAK PARK
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State | IL
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Zip | 60302-1514
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Country | US
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Telephone | 815-545-0903
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 4301085740
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 036-120112
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207RA0001X
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Taxonomy Name | Advanced Heart Failure and Transplant Cardiology Physician
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License Number | 036-120112
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License Number State | IL
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