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Individual

KANEEZ FATIMA ALI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
3505 NORTH BELL SCHOOL ROAD, ROCKFORD, IL 61114
(779) 696-0300
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
(779) 696-7150
(779) 696-7342

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-138706
IL
207V00000X
Obstetrics & Gynecology Physician
72957-20
WI
207VG0400X
Gynecology Physician
206655
LA
207VX0000X
Obstetrics Physician
206655
LA

Other

Enumeration date
04/09/2010
Last updated
05/28/2020
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