Provider Demographics
NPI:1346250115
Name:ALI, ABID (MD)
Entity Type:Individual
Prefix:DR
First Name:ABID
Middle Name:
Last Name:ALI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:11824 SOUTHWEST HWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463-1055
Mailing Address - Country:US
Mailing Address - Phone:708-361-0222
Mailing Address - Fax:708-361-4536
Practice Address - Street 1:11824 SOUTHWEST HWY
Practice Address - Street 2:SUITE 100
Practice Address - City:PALOS HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60463-1055
Practice Address - Country:US
Practice Address - Phone:708-361-0222
Practice Address - Fax:708-361-4536
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2022-04-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL0360821982084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036082198Medicaid
ILE86033Medicare UPIN