Ali, Maqbool B

Ali, Maqbool B is an sole proprietor health care provider with primary practice located at 4930 N Executive Dr , Peoria IL 61614-4894. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Ali, Maqbool B can be contacted via phone (309) 692-7575.

Contact Information

Primary practice address
4930 N Executive Dr Peoria IL 61614-4894
Fax: (309) 692-0275
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036058850 Illinois

Profile Details

NPI number 1801874565
LBN Legal business name Ali, Maqbool B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2006
Last updated Jan 10th, 2008 - about 17 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 1801874565 NPPES
Illinois Other 212742 MEDICARE GROUP NUMBER

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