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NPI Code Detail

MEDICARE: AYESHA ALI MD

MEDICARE:   AYESHA  ALI  MD
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
1207P00000XEmergency Medicine Physician036087496IL
2207Q00000XFamily Medicine Physician01077801AIN
3207Q00000XFamily Medicine Physician036087496IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1962453456
Entity Type Code : Individual
Provider Name (Legal Business Name) : AYESHA ALI MD
Provider Business Mailing Address
First Line : 2701 PATRIOT BLVD STE 110
Second Line :
City : GLENVIEW
State : IL
Zip : 60026-8039
Country : US
Telephone Number : 312-694-2273
Fax Number : 847-998-9833
Provider Business Practice Location Address
First Line : 2701 PATRIOT BLVD STE 110
Second Line :
City : GLENVIEW
State : IL
Zip : 60026-8039
Country : US
Telephone Number : 312-694-2273
Fax Number : 847-998-9833
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/12/2006
Last Update Date : 11/14/2022

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Directions to “ AYESHA ALI MD” Practice Location

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