Provider Demographics
NPI:1770002834
Name:ALI, REEM (MA)
Entity Type:Individual
Prefix:
First Name:REEM
Middle Name:
Last Name:ALI
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:REEM
Other - Middle Name:
Other - Last Name:ALI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:333 N LA GRANGE RD STE 1
Mailing Address - Street 2:
Mailing Address - City:LA GRANGE PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60526-5653
Mailing Address - Country:US
Mailing Address - Phone:708-745-5277
Mailing Address - Fax:708-698-5090
Practice Address - Street 1:333 N LA GRANGE RD STE 1
Practice Address - Street 2:
Practice Address - City:LA GRANGE PARK
Practice Address - State:IL
Practice Address - Zip Code:60526-5653
Practice Address - Country:US
Practice Address - Phone:708-745-5277
Practice Address - Fax:708-698-5090
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health