Individual provider · NPI-1

Dr. Yaseen Ali, MD

Internal Medicine · Elmhurst, IL

NPI number1902143605
StatusActive
Last updated in NPPESJun 16, 2014

Details

NPI
1902143605
Entity type
Individual (NPI-1)
Name
Dr. Yaseen Ali
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jan 15, 2013
Last updated
Jun 16, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine036131430ILYes
208M00000X Hospitalist036131430IL

Practice location

5 Elm Creek Dr
Suite 211
Elmhurst, IL 60126-5609

Phone 312-721-2000 · Fax 331-684-0098

Mailing address

5 Elm Creek Dr
Suite Number 211
Elmhurst, IL 60126-5609

Phone 630-812-8459

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