MEDICARE: QUSAI TAHER ALITTER M.D.

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	207R00000X	Internal Medicine Physician	036149239	IL
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	25MA11921200	NJ
3	207R00000X	Internal Medicine Physician	71642-20	WI
4	208M00000X	Hospitalist Physician	80235	CT
5	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	036149239	IL
6	208M00000X	Hospitalist Physician	036149239	IL
7	390200000X	Student in an Organized Health Care Education/Training Program
8	207RP1001X	Pulmonary Disease Physician	036149239	IL

General Provider Information

NPI Number	:	1093169419
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	QUSAI TAHER ALITTER M.D.

Provider Business Mailing Address
First Line	:	920 WEST ST
Second Line	:
City	:	PERU
State	:	IL
Zip	:	61354-2763
Country	:	US
Telephone Number	:	815-431-5757
Fax Number	:	815-575-4060

Provider Business Practice Location Address
First Line	:	920 WEST ST
Second Line	:
City	:	PERU
State	:	IL
Zip	:	61354-2763
Country	:	US
Telephone Number	:	815-431-5757
Fax Number	:	815-575-4060

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

Provider Enumeration Date	:	04/21/2016
Last Update Date	:	06/03/2026

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Directions to “ QUSAI TAHER ALITTER M.D.” Practice Location

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