Wasiti, Ali

Wasiti, Ali is an individual health care provider with primary practice located at 20201 Crawford Ave , Olympia Fields IL 60461. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Wasiti, Ali can be contacted via phone (708) 747-4000.

Contact Information

Primary practice address
20201 Crawford Ave Olympia Fields IL 60461
Phone: (708) 747-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01073249A Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036126242 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 036126242 Illinois

Profile Details

NPI number 1770731002
LBN Legal business name Wasiti, Ali
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2008
Last updated May 11th, 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 1770731002 NPPES
Illinois Other 036126242 STATE LICENSE
Illinois MEDICAID 036126242 STATE LICENSE
Illinois Other IL5686069 STATE LICENSE

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