Individual
MRS. KELLY ANN ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
1550 N NORTHWEST HWY, SUITE 220, PARK RIDGE, IL 60068-1411
(847) 824-3198
(847) 824-1291
Mailing address
1550 N NORTHWEST HWY, SUITE 220, PARK RIDGE, IL 60068-1411
(847) 298-7024
(847) 298-7155
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-004187
IL
Other
Enumeration date
10/17/2011
Last updated
06/19/2015
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