Syed M Ali, RPH

Individual provider Active NPI Pharmacotherapy Pharmacist · Hines, IL

NPI 1831282789 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1831282789
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacotherapy Pharmacist 1835P1200X
License
5211 (SD)
Practice address
5TH & Roosevelt Rd.
Pharmacy Service
Hines, IL 60414
Phone
(708) 202-4765
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Pharmacist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacotherapy Pharmacist 1835P1200X 5211 SD Yes

Addresses

Primary practice location

5TH & Roosevelt Rd.
Pharmacy Service
Hines, IL 60414

Mailing address

208 Racquet Club CT
Hinsdale, IL 60521-4917
Phone (630) 590-5294

Other providers in Hines, IL

All providers in Hines, IL · Pharmacotherapy Pharmacist in Illinois

Sources for this page

Verify at the official NPI Registry.