Individual provider · NPI-1

Besma Ezzatt Aly, MD

Family Medicine · Elmhurst, IL

NPI number1356087175
StatusActive
Last updated in NPPESAug 5, 2025

Details

NPI
1356087175
Entity type
Individual (NPI-1)
Name
Besma Ezzatt Aly
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
May 5, 2022
Certification date
Aug 5, 2025
Last updated
Aug 5, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine036175505ILYes

Practice location

172 E Schiller St
Elmhurst, IL 60126-2816

Phone 331-221-9001 · Fax 331-221-2035

Mailing address

2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700

Phone 847-982-3175 · Fax 847-982-3394

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