MIR M ALI (NPI# 1518237585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518237585 |
| Entity Type | Individual |
| Full Name | MIR M ALI |
| Credential | MD |
| Practice Address |
1800 Hollister Dr Ste 112 Libertyville IL 60048-5265 |
| Practice Telephone | 8473676781 |
| Mailing Telephone | 8473676781 |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2020-08-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 276959 | NY | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 148315 | CA | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 01070723A | IN | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
036.152740 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201060520 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 155 N Fresno St, Fresno, CA 937012302 | 5594996500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053800771 | Mir Amaan Ali | Student in an Organized Health Care Education/Training Program | 1161 21st Ave. So., T4224 Medical Center North, Nashville, TN 37232-2380 | 2018-05-08 |
| 1063853257 | Mir Ali | Emergency Medicine | 27700 Northwest Fwy Ste 170, Cypress, TX 77433-8105 | 2013-07-16 |
| 1053676858 | Mir Akbar Ali | Internal Medicine | 4720 Puddledock Rd Ste 120, Prince George, VA 23875-1275 | 2012-07-08 |
| 1396973996 | Mir M Ali | Internal Medicine | 706 Wilkins St, Ste C, Smithfield, NC 27577-4662 | 2009-06-23 |
| 1336288539 | Mir Mumtaz Ali | Internal Medicine | 706 Wilkins St Ste A, Smithfield, NC 27577-4662 | 2007-02-05 |
| 1366458069 | Mir Majid Ali | Family Medicine | 4013 14th St Ste 401, Plano, TX 75074-7126 | 2006-08-01 |
| 1295759694 | Mir Basharat Ali | Internal Medicine | 101 E Beverly Blvd Ste 408, Montebello, CA 90640-4317 | 2006-07-27 |
| 1922034909 | Mir Akif Ali | General Practice | 2400 W Devon Ave, Ste# 213, Chicago, IL 60659-1963 | 2006-06-23 |
| 1255317194 | Mir H Ali | Orthopaedic Surgery | 1051 W Us Route 6, Suite 100, Morris, IL 60450-4200 | 2005-12-22 |
| 1518444058 | Mir Karamat Ali | Counselor | 1260 E Arrow Hwy, Upland, CA 91786-4982 | 2018-07-27 |
| Street Address |
1800 HOLLISTER DR STE 112 |
| City | LIBERTYVILLE |
| State | IL |
| Zip Code | 60048-5265 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356551899 | Jerry X Liu | Internal Medicine | 1800 Hollister Dr Ste 112, Libertyville, IL 60048-5265 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184119950 | Park Avenue Dental Professionals, PC | Dentist | 1001 W. Park Avenue, Libertyville, IL 60048 | 2018-06-25 |
| 1437643525 | Shanna Coyle | Registered Nurse | 1128 Jaimee Ln, Libertyville, IL 60048 | 2018-06-21 |
| 1366943672 | Jackie Rayyan | Behavior Technician | 917 Sherwood Drive, Suite 201, Lake Bluff, IL 60048 | 2018-02-22 |
| 1851804850 | Mary E. Linsey | Counselor | 34180 Highway 45, Libertyville, IL 60048 | 2017-11-13 |
| 1962929018 | Affinity Integrated Healthcare | Chiropractor | 736 Florsheim Dr, St 12, Libertyville, IL 60048 | 2017-08-29 |
| 1164946471 | Christianna Patterson | Speech-Language Pathologist | 1870 W Winchester Rd #203, Libertyville, IL 60048 | 2017-07-28 |
| 1962938407 | Kyle Winiger | Specialist/Technologist | 4551 West Gavin Lane, Libertyville, IL 60048 | 2017-05-03 |
| 1396291530 | Karyn Kolner | Physical Therapist | 860 W Winchester Rd, #108, Libertyville, IL 60048 | 2016-08-28 |
| 1477900785 | Medlogic LLC | Clinic/Center | 114 West Rockland Road, Suite 201, Libertyville, IL 60048 | 2016-05-17 |
| 1477926343 | Robert Mcnulty | Student in an Organized Health Care Education/Training Program | 1313 Crane Blvd, Libertyville, IL 60048 | 2015-11-02 |
| Find all providers in zip 60048 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710234166 | Quickmed, LLC | Internal Medicine | 1870 W Winchester Rd Ste 204, Libertyville, IL 60048-5360 | 2012-08-04 |
| 1356551899 | Jerry X Liu | Internal Medicine | 1800 Hollister Dr Ste 112, Libertyville, IL 60048-5265 | 2007-05-23 |
| 1225082761 | David J Slivnick | Internal Medicine | 1800 Hollister Dr, Suite 112, Libertyville, IL 60048-5263 | 2006-05-20 |
| 1023090925 | North Shore Oncology-hematology Associates, Ltd. | Internal Medicine | 1800 Hollister Dr, Suite 112, Libertyville, IL 60048-5263 | 2005-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649831124 | Elena Vagia | Internal Medicine | 233 E Superior St Ste 1-061, Chicago, IL 60611-2913 | 2019-06-25 |
| 1194206367 | Illinois Cancer Specialists | Internal Medicine | 360 Station Dr Ste 201, Crystal Lake, IL 60014-7978 | 2018-08-27 |
| 1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
| 1730634700 | Liyun Huang | Internal Medicine | 17495 South La Grange Rd, Tinley Park, IL 60487 | 2016-08-19 |
| 1578017596 | Mercy Clinic Specialists Services-illinois LLC | Internal Medicine | 2227 Vadalabene Dr Ste 200, Maryville, IL 62062-5824 | 2016-08-08 |
| 1356793319 | Glenda Maria Delgado Ramos | Internal Medicine | 2160 S 1st Ave Ste 167, Maywood, IL 60153-3328 | 2016-07-01 |
| 1023403516 | Meghan Rebecca Steiner | Internal Medicine | 5841 S Maryland Ave # Mc-2115, Chicago, IL 60637 | 2015-04-01 |
| 1700270154 | Joseph Heng | Internal Medicine | 5841 S Maryland Ave # Mc1152, Chicago, IL 60637-1443 | 2015-03-24 |
| 1497148118 | Pinal Chokshi | Internal Medicine | 525 E Congress Pkwy Ste 300, Crystal Lake, IL 60014-6258 | 2015-03-05 |
| 1770998262 | Adventist Bolingbrook Hospital | Internal Medicine | 420 S Schmidt, Ste 230, Bolingbrook, IL 60440 | 2014-06-24 |
| Find all providers with the same taxonomy | ||||
| City | LIBERTYVILLE |
| Zip Code | 60048 |
Please comment or provide details below to improve the information on MIR M ALI.
| 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.