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Individual

DR. ABDULMONAM AHMAD ABULGASEM ALI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4106 S WATER TOWER PL, MOUNT VERNON, IL 62864-6544
(618) 242-8900
Mailing address
4501 HAMMERBERSLY RD APT 10G, MADISON, WI 53711

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036142644
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
1721
WI
207RP1001X
Pulmonary Disease Physician
036.142644
IL
207RP1001X
Pulmonary Disease Physician
Primary
1721
WI

Other

Enumeration date
08/31/2011
Last updated
07/19/2023
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