Individual
MR. ALI AHMED MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6441 S PULASKI RD, SUITE 306, CHICAGO, IL 60629-5148
(773) 884-0100
(773) 884-0800
Mailing address
15826 ROB ROY DR, OAK FOREST, IL 60452-2742
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K24038
PROVIDERS ID NUMBER
IL
Enumeration date
11/15/2006
Last updated
07/08/2007
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