Ali, Mir M

Ali, Mir M is an sole proprietor health care provider with primary practice located at 1800 Hollister Dr Ste 112 , Libertyville IL 60048-5265. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Ali, Mir M can be contacted via phone (847) 367-6781.

Contact Information

Primary practice address
1800 Hollister Dr Ste 112 Libertyville IL 60048-5265
Phone: (847) 367-6781
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01070723A Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 148315 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 276959 New York
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 036.152740 Illinois

Profile Details

NPI number 1518237585
LBN Legal business name Ali, Mir M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2012
Last updated Dec 16th, 2021 - about 3 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 1518237585 NPPES
Indiana MEDICAID 201060520

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