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Organization

MIR AKIF ALI MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MIR AKIF ALI MD PC (OWNER)
(630) 276-8282
Entity
Organization

Contact information

Practice address
2400 W DEVON AVE, STE# 213, CHICAGO, IL 60659-1910
(630) 941-5295
(773) 279-6515
Mailing address
2400 W DEVON AVE, STE# 213, CHICAGO, IL 60659-1910
(630) 941-5295
(773) 279-6515

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036047763
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01622104
BCBS
IL
05
036047763
IL
Enumeration date
04/24/2007
Last updated
12/17/2015
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