Provider Demographics
NPI:1114193125
Name:AL-QAMARI, ALEFIYA IBRAHIM (MD)
Entity Type:Individual
Prefix:
First Name:ALEFIYA
Middle Name:IBRAHIM
Last Name:AL-QAMARI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ALEFIYA
Other - Middle Name:HASHIM
Other - Last Name:SHAKIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1717 W CONGRESS PKWY STE 10
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-3809
Mailing Address - Country:US
Mailing Address - Phone:312-942-3568
Mailing Address - Fax:
Practice Address - Street 1:1717 W CONGRESS PKWY STE 10
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612-3809
Practice Address - Country:US
Practice Address - Phone:312-942-3568
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-30
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.155450207R00000X
IL036-155450208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine