Fatima Z Ali, MD
Individual provider Active NPI Psychiatry Physician · Wheaton, IL
NPI 1962476853 · NPPES record last updated Jun 19, 2009
Key facts
- NPI
- 1962476853
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 36069142 (IL)
- Practice address
- 1751 S Naperville Rd
207
Wheaton, IL 60189-5896 - Phone
- (630) 690-2222
- Fax
- (630) 690-3353
- NPI assigned
- Feb 15, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Yes, effective Dec 1, 2013 through Dec 1, 2027
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36069142 | IL | MD | Psychiatry Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 36069142 | IL | Yes |
Addresses
Primary practice location
1751 S Naperville Rd
207
Wheaton, IL 60189-5896
Mailing address
1751 S Naperville Rd
207
Wheaton, IL 60189-5896
Phone (630) 690-2222
Other providers in Wheaton, IL
- Christopher Brian Alexander
- David Alfaro
- Sue Alfaro
- Daisy Mary Alfonso
- Arij Ali
- Momina Ali
- Rida Ali
- Syed Ali
- Norman A Aliga
- Jeanette Alksnis
All providers in Wheaton, IL · Psychiatry Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2009. 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).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.