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NPI Code Detail

MEDICARE: SHEHZAD ALI MD SC

MEDICARE: SHEHZAD ALI MD SC
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
1207R00000XInternal Medicine PhysicianIL

General Provider Information

NPI Number : 1275574980
Entity Type Code : Organization
Provider Name (Legal Business Name) : SHEHZAD ALI MD SC
Provider Business Mailing Address
First Line : PO BOX 26975
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32226-6975
Country : US
Telephone Number : 904-503-1132
Fax Number : 888-886-4464
Provider Business Practice Location Address
First Line : 4646 N MARINE DR
Second Line : SUITE 6200C
City : CHICAGO
State : IL
Zip : 60640-5759
Country : US
Telephone Number : 773-564-5313
Fax Number : 773-564-5314
Authorized Official
Title or Position : CEO
Name : SHEHZAD ALI
Credential : MD
Telephone Number : 773-564-5313
Provider Enumeration Date : 06/10/2006
Last Update Date : 03/23/2026

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Directions to “SHEHZAD ALI MD SC ” Practice Location

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