Organization
WE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEHZAD ALI M.D (PHYSICIAN)
(773) 564-5313
Entity
Organization
Contact information
Practice address
4646 N MARINE DR, CHICAGO, IL 60640-5759
(773) 564-5313
Mailing address
6025 N HIAWATHA AVE, CHICAGO, IL 60646-5825
(773) 799-0841
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
125062810
IL
Other
Enumeration date
06/22/2013
Last updated
06/22/2013
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