Ayesha Ali, MD | |
2701 Patriot Blvd Ste 110, Glenview, IL 60026-8039 | |
(312) 694-2273 | |
(847) 998-9833 |
Full Name | Ayesha Ali |
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Gender | Female |
Speciality | Family Medicine |
Location | 2701 Patriot Blvd Ste 110, Glenview, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962453456 | NPI | - | NPPES |
201410780 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 036087496 (Illinois) | Secondary |
207Q00000X | Family Medicine | 01077801A (Indiana) | Secondary |
207Q00000X | Family Medicine | 036087496 (Illinois) | Primary |
Entity Name | Northwestern Medical Faculty Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541 |
Entity Name | County Of Lake |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164446712 PECOS PAC ID: 7214838861 Enrollment ID: O20040116000192 |
Mailing Address | Practice Location Address |
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Ayesha Ali, MD 2701 Patriot Blvd Ste 110, Glenview, IL 60026-8039 Ph: (312) 694-2273 | Ayesha Ali, MD 2701 Patriot Blvd Ste 110, Glenview, IL 60026-8039 Ph: (312) 694-2273 |
Martin Kovachevich, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2050 Pfingsten Rd, Suite 330, Glenview, IL 60026 Phone: 847-998-4100 Fax: 847-998-8439 | |
Leslie Mendoza Temple, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 Chestnut Ave, Suite A, Glenview, IL 60026 Phone: 847-657-3540 Fax: 847-657-3521 | |
Dr. Deborah Elizabeth Miller, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2050 Pfingsten Rd Ste 200, Glenview, IL 60026 Phone: 847-657-1820 Fax: 847-657-1823 | |
Khaldoun Dalbik, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2050 Pfingsten Rd, Glenview, IL 60026 Phone: 847-657-1810 | |
Dr. Ezechinyerem D Uzosike, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2050 Pfingsten Rd, Suite 200, Glenview, IL 60026 Phone: 847-657-1840 Fax: 847-657-1823 | |
Rachael Libertin, Family Medicine Medicare: Medicare Enrolled Practice Location: 2050 Pfingsten Rd, Glenview, IL 60026 Phone: 847-657-1812 | |
Esther Francine Vergara, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1255 Milwaukee Ave, Glenview, IL 60025 Phone: 847-294-5490 Fax: 847-294-5496 |