Provider Demographics
NPI:1528222791
Name:ALI, JABEEN S (MD)
Entity Type:Individual
Prefix:MRS
First Name:JABEEN
Middle Name:S
Last Name:ALI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:201 E OGDEN AVE STE 130
Mailing Address - Street 2:
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-3664
Mailing Address - Country:US
Mailing Address - Phone:630-995-9905
Mailing Address - Fax:630-995-9908
Practice Address - Street 1:201 E OGDEN AVE STE 130
Practice Address - Street 2:
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-3664
Practice Address - Country:US
Practice Address - Phone:630-995-9905
Practice Address - Fax:630-995-9908
Is Sole Proprietor?:No
Enumeration Date:2008-07-16
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036.1277632084P0800X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry