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Individual

MUHAMMAD ALI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7516 S CASS AVENUE, SUITE 15, DARIEN, IL 60561
(630) 724-9999
(630) 724-1078
Mailing address
7516 S CASS AVENUE, SUITE 15, DARIEN, IL 60561
(630) 724-9999
(630) 724-1078

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0360477651
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02232210
BLUE CROSS BLUE SHIELD
05
036047765
IL
Enumeration date
07/06/2006
Last updated
12/30/2016
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