Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 036-120112 | IL |
N | 207RC0000X | Internist - Cardiovascular Disease | 036-120112 | IL |
N | 207RC0000X | Internist - Cardiovascular Disease | 4301085740 | MI |
NPI | 1760696314 |
---|---|
Provider Name | Ali A Valika |
First Address | Oak Park, IL 60302-1514 |
Second Address | Elmhurst, IL 60126-5658 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 18/11/2021 |