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Individual

ALI R LAKHANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2614 W JEFFERSON ST, JOLIET, IL 60435
(815) 725-1355
(815) 725-9857
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
(630) 469-9200

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
036089040
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036089040
IL
01
208256003
MEDICARE INDIV ID# FOR GROUP 208256
IL
01
830008610
MEDICARE RR
IL
01
L95420
MEDICARE INDIV ID# FOR GROUP 336140
IL
01
L98054
MEDICARE INDIV ID# FOR GROUP 205474
IL
Enumeration date
09/20/2005
Last updated
03/15/2021
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