Individual
ALI RAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4646 N MARINE DR, CHICAGO, IL 60640-5759
(773) 564-5225
Mailing address
4646 N MARINE DR FL 7, CHICAGO, IL 60640-5759
(773) 564-5225
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
125085467
IL
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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