Ali, Husam M.

Ali, Husam M. is an individual health care provider with primary practice located at 9848 Southwest Hwy , Oak Lawn IL 60453-3662. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Ali, Husam M. can be contacted via phone (708) 262-4876.

Contact Information

Primary practice address
9848 Southwest Hwy Oak Lawn IL 60453-3662
Phone: (708) 262-4876
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA11023000 New Jersey
Allopathic & Osteopathic Physicians / General Practice 208D00000X 25MA11023000 New Jersey
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036.158544 Illinois

Profile Details

NPI number 1912444209
LBN Legal business name Ali, Husam M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2017
Last updated Dec 22nd, 2023 - about last year

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 1912444209 NPPES
Illinois Other 036.158544 STATE MEDICAL EXAMINER LICENSE
Illinois Other 25MA11023000 STATE MEDICAL EXAMINER LICENSE

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