Rose F. Ali, PA-C
Individual provider Active NPI Physician Assistant · Chicago, IL
NPI 1003085796 · NPPES record last updated Sep 15, 2022
Key facts
- NPI
- 1003085796
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 085-002130 (IL)
- Practice address
- 659 W Washington Blvd
Chicago, IL 60661-2118 - Phone
- (312) 707-8988
- Fax
- (312) 707-9223
- NPI assigned
- Feb 27, 2008
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085-002130 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Planning Associates Medical Group LTD. | Past |
Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EIEBCA/Endpoint/EIEBCA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085-002130 | IL | Yes |
Addresses
Primary practice location
659 W Washington Blvd
Chicago, IL 60661-2118
Mailing address
659 W Washington Blvd
Chicago, IL 60661-2118
Phone (312) 707-8988
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 085-002130 | Medicaid | IL |
Other providers in Chicago, IL
- Nasser Ali
- Omaima Ali
- Omair Ali
- Rabia Ali
- Rena Ali
- Ruthe G. Ali
- S Jameel Ali
- Safdar Ali
- Shawn Ali
- Shehzad Ali
All providers in Chicago, IL · Physician Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.