Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 125065161 | IL |
N | 111NI0900X | Internist | 125065161 | IL |
Y | 2084N0400X | Neurologist | 125065161 | IL |
NPI | 1023422623 |
---|---|
Provider Name | Zeeshan Ali |
First Address | Chicago, IL 60674-3833 |
Second Address | Hinsdale, IL 60521-2600 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2014 |
Last Update Date | 24/02/2021 |