Natasha M Ali, PAC
Physician Assistant in Libertyville, IL. Individual provider (NPI-1).
NPI number1487096483
StatusActive
Last updated in NPPESSep 7, 2023
Details
- NPI
- 1487096483
- Entity type
- Individual (NPI-1)
- Name
- Natasha M Ali
- Credential
- PAC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2013
- Certification date
- Sep 7, 2023
- Last updated
- Sep 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 085.008345 | IL | Yes |
| 363A00000X | Physician Assistant | 3171 | WI |
Practice location
801 S Milwaukee AveLibertyville, IL 60048-3204
Phone 847-367-6781
Mailing address
29373 Network PlChicago, IL 60673-3861
Phone 847-390-5900
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All 57 Physician Assistant providers in Libertyville · All 1,805 providers in Libertyville
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