Individual
ALI HUSSAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
453 S VERMONT ST STE C, PALATINE, IL 60067-6968
(133) 596-0019
(913) 359-5552
Mailing address
601 E MAIN ST STE 101, MAHOMET, IL 61853-7460
(913) 359-6001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OT014823
PA
Other
Enumeration date
07/30/2012
Last updated
12/12/2022
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