| Mir Akif Ali Md Pc | |
|
2400 W Devon Ave Ste# 213 Chicago IL 60659-1910 | |
| (630) 941-5295 | |
| (773) 279-6515 |
| Full Name | Mir Akif Ali Md Pc |
|---|---|
| Speciality | General Practice |
| Location | 2400 W Devon Ave, Chicago, Illinois |
| Authorized Official Name and Position | Mir Akif Ali (OWNER) |
| Authorized Official Contact | 6302768282 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mir Akif Ali Md Pc 2400 W Devon Ave Ste# 213 Chicago IL 60659-1910 Ph: (630) 941-5295 | Mir Akif Ali Md Pc 2400 W Devon Ave Ste# 213 Chicago IL 60659-1910 Ph: (630) 941-5295 |
| NPI Number | 1952520504 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 12/17/2015 |
| Medicare PECOS PAC ID | 6406024116 |
|---|---|
| Medicare Enrollment ID | O20110725000539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952520504 | NPI | - | NPPES |
| 036047763 | Medicaid | IL | |
| 01622104 | Other | IL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 036047763 (Illinois) | Primary |
| Provider Name | Mir A Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922034909 PECOS PAC ID: 8729984000 Enrollment ID: I20031209000058 |
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