Individual
WASEY ALI YADULLAHI MIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3331 W DEYOUNG ST STE 109, MARION, IL 62959-5897
(618) 998-7961
Mailing address
3331 W DEYOUNG ST STE 109, MARION, IL 62959-5897
(618) 998-7961
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.156851
IL
207R00000X
Internal Medicine Physician
Primary
125.071879
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036.156851
IL
207RP1001X
Pulmonary Disease Physician
Primary
036.156851
IL
Other
Enumeration date
06/23/2018
Last updated
04/20/2026
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