Mohamed Aly

Individual provider Active NPI Surgical Assistant · Buffalo Grove, IL

NPI 1750249751 · NPPES record last updated Jan 10, 2026

Key facts

NPI
1750249751
Entity type
Individual (NPI type 1)
Primary specialty
Surgical Assistant 246ZC0007X
License
238.010915 (IL)
Practice address
PO Box 4832
Buffalo Grove, IL 60089-4832
Phone
(847) 722-3559
NPI assigned
Jan 10, 2026
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

State licenses

LicenseStateTypeSpecialty
238.010915ILMDSurgical Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Assistant
Group: 193400000X SINGLE SPECIALTY GROUP
246ZC0007X 238.010915 IL Yes

Addresses

Primary practice location

PO Box 4832
Buffalo Grove, IL 60089-4832

Mailing address

PO Box 4832
Buffalo Grove, IL 60089-4832
Phone (847) 722-3559

Other providers in Buffalo Grove, IL

All providers in Buffalo Grove, IL · Surgical Assistant in Illinois

Sources for this page

Verify at the official NPI Registry.