Individual
FARAH ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1333 W. BELMONT AVE, #2087, CHICAGO, IL 60657
(847) 686-0090
Mailing address
401 E ONTARIO ST, #1510, CHICAGO, IL 60611-3051
(847) 686-0090
(847) 686-0090
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.008164
IL
Other
Enumeration date
07/12/2007
Last updated
09/14/2012
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