Individual
MAHNAZ JEELANI ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1111 SUPERIOR ST, SUITE 207, MELROSE PARK, IL 60160-4138
(708) 406-3040
(708) 406-3053
Mailing address
1111 SUPERIOR ST, SUITE 207, MELROSE PARK, IL 60160-4138
(708) 406-3040
(708) 406-3053
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.123445
IL
207Q00000X
Family Medicine Physician
R1108
AZ
Other
Enumeration date
08/06/2007
Last updated
12/30/2019
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