Babatunde O Ali

Individual provider Active NPI Developmental Therapist · Harvey, IL

NPI 1184883514 · NPPES record last updated Jun 2, 2008

Key facts

NPI
1184883514
Entity type
Individual (NPI type 1)
Primary specialty
Developmental Therapist 222Q00000X
Practice address
15711 Paulina St
Harvey, IL 60426-4226
Phone
(773) 209-1994
Fax
(773) 854-5868
NPI assigned
Jun 2, 2008
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
New Choice Intervention, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X Yes

Addresses

Primary practice location

15711 Paulina St
Harvey, IL 60426-4226

Mailing address

15711 Paulina St
Harvey, IL 60426-4226
Phone (773) 209-1994

Other providers in Harvey, IL

All providers in Harvey, IL · Developmental Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.