MR. ALI MOSTAFA SERHAL


Address: 240 E. Huron St, Suite 1-203, Chicago, IL 60617
Phone: 3125036748

MR. ALI MOSTAFA SERHAL (NPI# 1366976631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366976631
Entity Type Individual
Full Name MR. ALI MOSTAFA SERHAL
Credential M.D
Practice Address 240 E. Huron St
Suite 1-203
Chicago
IL 60617
Mailing Address 240 E. Huron St.
Suite 1-203
Chicago
IL 60611
Practice Telephone 3125036748
Practice Fax Number 3125035930
Mailing Telephone 3125034748
Mailing Fax Number 3125035930
Enumeration Date 2017-04-13
Last Update Date 2017-12-13
NPI Deactivation Date 11/17/2017
NPI Reactivation Date 2017-12-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
125.069788 IL Allopathic & Osteopathic Physicians

Office Location

Street Address 240 E. HURON ST
SUITE 1-203
City CHICAGO
State IL
Zip Code 60617

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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

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1376196220 Parvathamma Imaging Services, LLC Radiology 7431 S East End Ave Ste 2, Chicago, IL 60649-3611 2019-07-19
1225516842 Tyler Jonathan Hinkel Radiology 33 W Ontario St Apt 46f, Chicago, IL 60654 2018-08-06
1790132934 Peter Barton Moreau Radiology 1740 W Taylor St Rm 2483, Chicago, IL 60612-7232 2016-05-18
1043678899 Burce Ozgen Mocan Radiology 1740 W Taylor St Rm 2511, Department of Radiology (mc931), Chicago, IL 60612-7232 2016-02-08
1538552898 Imo Ime Uko Radiology 4646 N Marine Dr Ste 7100, Chicago, IL 60640 2015-03-11
1962891739 Katherine Conlon Radiology 240 E Huron St # 1-203, Chicago, IL 60611 2015-01-16
1861805871 Arun Nagaraju Radiology 5841 S. Maryland Ave. Suite Mc2026, University of Chicago, Chicago, IL 60637-1448 2014-06-06
1568873529 Emily Ghobadi Radiology 250 E Superior St Rm 4-2304, Chicago, IL 60611-2914 2014-05-13
1306266903 Jessica Kristen Peterson Radiology 250 E Superior St Ste 4-2304, Chicago, IL 60611-2914 2014-04-22
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City CHICAGO
Zip Code 60617

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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