Organization Active NPI

Mrs Ghousia B Ali MD & Mohammed Masood Ali MD

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1184804668
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036084980 Issued in IL
Legal business name
MRS GHOUSIA B ALI MD & MOHAMMED MASOOD ALI MD
Practice address
2040 W Devon Ave
Chicago, IL 60659-2128
Phone
(773) 274-3060
NPI assigned
Nov 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ghousia Begim Ali, MD
Title
Physician
Phone
(773) 274-3060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 036084980 IL Primary

Addresses

Primary practice location

2040 W Devon Ave
Chicago, IL 60659-2128

Mailing address

5800 Keeney St
Morton Grove, IL 60053-3551
Phone (847) 674-6611

Other identifiers 1

IdentifierTypeStateIssuer
036084980MedicaidIL

National Provider Directory

National Provider Directory

Locations

2136 W Devon Ave
Chicago, IL 60659
Phone (773) 274-3060

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1184804668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 KEENEY ST",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600533551",
            "telephone_number": "847-674-6611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2040 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606592128",
            "telephone_number": "773-274-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MRS GHOUSIA B ALI MD & MOHAMMED MASOOD ALI MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-13",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "GHOUSIA",
        "authorized_official_middle_name": "BEGIM",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "773-274-3060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036084980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036084980",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.