Individual provider · NPI-1

Syeda Farheen Ali, MD

Internal Medicine · Bourbonnais, IL

NPI number1861770679
StatusActive
Last updated in NPPESJan 11, 2021

Details

NPI
1861770679
Entity type
Individual (NPI-1)
Name
Syeda Farheen Ali
Credential
MD
Sex
Female
Sole proprietor
Yes
Enumeration date
Jul 27, 2011
Certification date
Jan 11, 2021
Last updated
Jan 11, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine036135493ILYes
390200000X Student in an Organized Health Care Education/Training Program4301097875MI

Practice location

400 Riverside Dr
2100
Bourbonnais, IL 60914-5004

Phone 815-935-2784 · Fax 815-935-5687

Mailing address

400 Riverside Dr
2100
Bourbonnais, IL 60914-5004

Phone 815-935-2784 · Fax 815-935-5687

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