Individual
DR. KISHWAR ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3845 MCCOY DR STE 109, AURORA, IL 60504-4429
(630) 898-1031
Mailing address
3845 MCCOY DR STE 109, AURORA, IL 60504-4429
(630) 898-1031
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036099898
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004526027
BCBS IL
IL
05
—
036099898
—
IL
Enumeration date
09/13/2006
Last updated
07/21/2022
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