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Individual

SHIREEN ALI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9401 WASHINGTON RD, MORTON GROVE, IL 60053-1080
(224) 558-9515
Mailing address
6120 GRAND CENTRAL PKWY, C1403, FOREST HILLS, NY 11375-1263
(224) 558-9515

Taxonomy

Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
IL

Other

Enumeration date
04/22/2008
Last updated
03/19/2014
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