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General NPI Number Information
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NPI Number | 1932201712
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Entity Type | Individual
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Provider Name | MUHAMMAD ALI M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/02/2006
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Last Update Date | 01/07/2026
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Provider Practice Location Address
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Address Line | 360 STATION DR
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City | CRYSTAL LAKE
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State | IL
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Zip | 60014-7978
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Country | US
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Telephone | 815-338-6600
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Fax | 815-455-8044
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Provider Business Mailing Address
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Address Line | 29624 NETWORK PL
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City | CHICAGO
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State | IL
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Zip | 60673-1296
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Country | US
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Telephone | 815-971-3030
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Fax | 815-968-4795
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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 | 207QB0002X
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Taxonomy Name | Obesity Medicine (Family Medicine) Physician
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License Number | 036115148
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 036115148
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License Number State | IL
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