Ali, Mohammad Masood

Ali, Mohammad Masood is an individual health care provider with primary practice located at 2040 W Devon Ave , Chicago IL 60659-2128. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ali, Mohammad Masood can be contacted via phone (773) 274-3060.

Contact Information

Primary practice address
2040 W Devon Ave Chicago IL 60659-2128
Phone: (773) 274-3060
Fax: (773) 274-3081
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036075613 Illinois

Profile Details

NPI number 1750383758
LBN Legal business name Ali, Mohammad Masood
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Oct 24th, 2014 - about 11 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 1750383758 NPPES
Illinois MEDICAID 036075613

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