Shaik Hyder Zishan Ali, OT

Individual provider Active NPI Occupational Therapist · Northbrook, IL

NPI 1689207144 · NPPES record last updated Feb 12, 2020

Key facts

NPI
1689207144
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
Practice address
1535 Lake Cook Rd Ste 306
Northbrook, IL 60062-1452
Phone
(224) 522-6550
NPI assigned
Feb 12, 2020
Sex
Male
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Yes

Addresses

Primary practice location

1535 Lake Cook Rd Ste 306
Northbrook, IL 60062-1452

Mailing address

1535 Lake Cook Rd Ste 306
Northbrook, IL 60062-1452
Phone (224) 522-6550

Other providers in Northbrook, IL

All providers in Northbrook, IL · Occupational Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.