Ali, Ayesha

Ali, Ayesha is an individual health care provider with primary practice located at 2701 Patriot Blvd Ste 110 , Glenview IL 60026-8039. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Ali, Ayesha can be contacted via phone (312) 694-2273.

Contact Information

Primary practice address
2701 Patriot Blvd Ste 110 Glenview IL 60026-8039
Phone: (312) 694-2273
Fax: (847) 998-9833
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036087496 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01077801A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036087496 Illinois

Profile Details

NPI number 1962453456
LBN Legal business name Ali, Ayesha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Nov 14th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962453456 NPPES
Indiana MEDICAID 201410780

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