Natasha M Ali, PAC
Individual provider Active NPI Physician Assistant · Libertyville, IL
NPI 1487096483 · NPPES record last updated Sep 7, 2023
Key facts
- NPI
- 1487096483
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 085.008345 (IL)
- Practice address
- 801 S Milwaukee Ave
Libertyville, IL 60048-3204 - Phone
- (847) 367-6781
- NPI assigned
- Jul 19, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Advocate Health and Hospitals Corporation
Practice addresses (Care Compare)
1445 N Hunt Club Rd
Gurnee, IL 60031-2603
214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160
801 S Milwaukee Ave
Libertyville, IL 60048-3204
Phone (847) 279-0061
801 S Milwaukee Ave BLDG
Suite 880
Libertryville, IL 60048-3204
Phone (847) 990-5910
Hospital & facility affiliations
- Advocate Illinois Masonic Medical Center
- Advocate Condell Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20211004002815 | IL | Practitioner - Physician Assistant | 3577797976 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3171 | WI | MD | Optometrist |
| 085.008345 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current |
Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current |
Accepting new patients | |
| Rush University Medical Group | Current |
Accepting new patients |
Locations
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
75 Remittance Dr
Dept 1611
Chicago, IL 60675
1725 W Harrison St
Ste 809
Chicago, IL 60612
Phone (312) 942-5904
1725 W Harrison St
Ste 1010
Chicago, IL 60612
Phone (312) 942-5904
29373 Network Pl
Chicago, IL 60673
1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875
1800 Hollister Dr
Ste 112
Libertyville, IL 60048
Phone (708) 367-6781
801 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 362-2900
Interoperability endpoints
- nali184224@direct.rush.rush-health.com
- nali67969@direct.myadvocateaurora.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3171 | WI | |
| Physician Assistant | 363A00000X | 085.008345 | IL | Yes |
Addresses
Primary practice location
801 S Milwaukee Ave
Libertyville, IL 60048-3204
Mailing address
29373 Network PL
Chicago, IL 60673-3861
Phone (847) 390-5900
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nali67969@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Other providers in Libertyville, IL
- Madelyn Grace Albers
- Aleksandra Glodek DMD PC
- Alicia L Alexander
- Mahmoud Ali
- Mir M Ali
- Sarah Alkilany
- All Time Urgent and Medical Care LTD
- Peter Gerald Allegretti
- Richard M Allen
- Alliance Gastroenterology Group LLC
All providers in Libertyville, 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 7, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.