Individual provider · NPI-1

Walid Ali, MD

Family Medicine · Tinley Park, IL

NPI number1659074888

StatusActive

Last updated in NPPESAug 21, 2026

Details

NPI: 1659074888
Entity type: Individual (NPI-1)
Name: Walid Ali
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Mar 27, 2023
Certification date: Aug 21, 2026
Last updated: Aug 21, 2026

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207Q00000X	Family Medicine	036-178783	IL	Yes
390200000X	Student in an Organized Health Care Education/Training Program	–	–

Practice location

17148 Harlem Ave
Tinley Park, IL 60477-3331

Phone 708-429-1200 · Fax 708-429-4845

Mailing address

Po Box 713260
Chicago, IL 60677-1260

Phone 630-469-9200

Other practice locations

9422 S 68th Ct
Oak Lawn, IL 60453-2099

Phone 929-575-2176

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