Individual
HUSAM M. ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4817 W 83RD ST, BURBANK, IL 60459-2790
(708) 262-4876
Mailing address
4817 W 83RD ST, BURBANK, IL 60459-2790
(708) 262-4876
(708) 810-6879
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036.158544
IL
207Q00000X
Family Medicine Physician
25MA11023000
NJ
208D00000X
General Practice Physician
25MA11023000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036.158544
STATE MEDICAL EXAMINER LICENSE
IL
01
—
25MA11023000
STATE MEDICAL EXAMINER LICENSE
NJ
Enumeration date
01/24/2017
Last updated
05/29/2025
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