MEDICARE: DR. MUHAMMAD ALI 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	207QB0002X	Obesity Medicine (Family Medicine) Physician	036115148	IL
2	207Q00000X	Family Medicine Physician	036115148	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2232882	OTHER	IL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932201712
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MUHAMMAD ALI M.D.

Provider Business Mailing Address
First Line	:	29624 NETWORK PL
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60673-1296
Country	:	US
Telephone Number	:	815-971-3030
Fax Number	:	815-968-4795

Provider Business Practice Location Address
First Line	:	360 STATION DR
Second Line	:
City	:	CRYSTAL LAKE
State	:	IL
Zip	:	60014-7978
Country	:	US
Telephone Number	:	815-338-6600
Fax Number	:	815-455-8044

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

Provider Enumeration Date	:	09/02/2006
Last Update Date	:	01/07/2026

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