Individual
MIR H ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1051 W US ROUTE 6, SUITE 100, MORRIS, IL 60450-4200
(815) 942-4875
(815) 942-5046
Mailing address
725 SCHOOL ST STE A, MORRIS, IL 60450-1207
(815) 941-9124
(815) 941-4363
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
036.122446
IL
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
036-122446
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036.122446
LICENSE
IL
Enumeration date
12/22/2005
Last updated
05/06/2021
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