Individual
DEWAA ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
300 S RANDALL RD, ELGIN, IL 60123-5525
(847) 841-0988
Mailing address
1501 YOSEMITE CIR, CRYSTAL LAKE, IL 60014-1919
(414) 550-9112
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051298943
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051298943
IDFPR
IL
01
—
18200-40
WISCONSIN DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES
WI
Enumeration date
08/24/2015
Last updated
10/05/2015
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