Individual
ASYA S. ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1775 DEMPSTER ST, PARK RIDGE, IL 60068-1143
(847) 723-2210
Mailing address
520 E 22ND ST, LOMBARD, IL 60148-6110
(630) 874-2542
(630) 876-2642
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036113876
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036113876
—
IL
Enumeration date
07/12/2005
Last updated
12/24/2021
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