Provider Demographics
NPI:1720558232
Name:ALI, ZEESHAN (LEVEL 2 BX THERAPIST)
Entity Type:Individual
Prefix:MR
First Name:ZEESHAN
Middle Name:
Last Name:ALI
Suffix:
Gender:M
Credentials:LEVEL 2 BX THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6882 N LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:LINCOLNWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60712-2624
Mailing Address - Country:US
Mailing Address - Phone:847-338-3942
Mailing Address - Fax:
Practice Address - Street 1:7660 GROSS POINT RD
Practice Address - Street 2:
Practice Address - City:SKOKIE
Practice Address - State:IL
Practice Address - Zip Code:60077-2613
Practice Address - Country:US
Practice Address - Phone:847-967-1800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-27
Last Update Date:2018-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst