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
Phone: (309) 692-7575
Fax: (309) 692-0275
Website:
Health care specialties
| Specialty | Code | License # | 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 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801874565 | NPPES |
| Illinois | Other | 212742 | MEDICARE GROUP NUMBER |
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