Jamal Al Ali, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Chicago, Illinois. His current practice location is
5841 S Maryland Ave # Mc2030, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at
(773) 702-6222.
Jamal Al Ali is licensed to practice in Illinois (license number 125.077285) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1982213948.
Physician's Profile
Full Name | Jamal Al Ali |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 5841 S Maryland Ave # Mc2030, Chicago, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1982213948
- Provider Enumeration Date: 07/27/2020
- Last Update Date: 06/16/2021
Medicare PECOS Information:
- PECOS PAC ID: 4082078233
- Enrollment ID: I20230907000354
Medical Identifiers
Medical identifiers for Jamal Al Ali such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982213948 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | FR4639829605 (Rhode Island) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 125.077285 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jamal Al Ali is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jamal Al Ali, MD 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 Ph: (773) 702-1150 | Jamal Al Ali, MD 5841 S Maryland Ave # Mc2030, Chicago, IL 60637-1443 Ph: (773) 702-6222 |
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