Active NPI
Mrs Ghousia B Ali MD & Mohammed Masood Ali MD
- Family Medicine Physician
- Chicago, IL
National Provider Identifier
1184804668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036084980
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036084980 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
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.