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Contact Information

MAHMOUD ALI
900 TECHNOLOGY WAY STE 220
LIBERTYVILLE, IL60048-5364
 Phone: 847-367-7171
 Fax: 847-367-7177
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MAHMOUD ALI · (Male)

NPI # 1366837635
Status Active
Credentials
Entity Individual
Enumeration date 04/02/2015
Last updated 02/07/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-167077
  • WI License # 69397-20
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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