Organization
ALI MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QAISER JAWAID M.D (MEMBER)
(630) 952-1412
Entity
Organization
Contact information
Practice address
300 MEDICAL PLZ STE 100, LAKE ST LOUIS, MO 63367-1484
(630) 952-1412
Mailing address
300 MEDICAL PLZ STE 100, LAKE ST LOUIS, MO 63367-1484
(630) 952-1412
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
207RR0500X
Rheumatology Physician
—
—
Other
Enumeration date
03/30/2012
Last updated
02/24/2021
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