Individual
DR. IMRAN WAJID ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7447 W TALCOTT AVE STE 222, CHICAGO, IL 60631-3713
(773) 774-5245
Mailing address
7447 W TALCOTT AVE STE 222, CHICAGO, IL 60631-3713
(773) 774-5245
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
036114351
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036114351
—
IL
Enumeration date
07/08/2006
Last updated
10/13/2020
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