Individual
ALI RIAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1431 NORTH CLAIRMONT, CHICAGO, IL 60622
(773) 213-5100
Mailing address
725 CHESTNUT AVE, WILMETTE, IL 60091
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021604495
BCBS
IL
Enumeration date
12/01/2006
Last updated
07/08/2007
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