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Contact Information

ABDULMONAM A ALI, MD
4106 S WATER TOWER PL
MOUNT VERNON, IL62864-6544
 Phone: 618-242-8900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ABDULMONAM A ALI · (Male)

NPI # 1396026506
Status Active
Credentials MD
Entity Individual
Enumeration date 08/31/2011
Last updated 07/19/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036.142644
  • IL License # 036142644
  • WI License # 1721
Hospital affiliation(s)
  • GOOD SAMARITAN REGIONAL HEALTH CENTER - (Acute Care)
    1 GOOD SAMARITAN WAY
    MOUNT VERNON, IL 62864
  • PARKVIEW REGIONAL MEDICAL CENTER - (Acute Care)
    11109 PARKVIEW PLAZA DRIVE
    FORT WAYNE, IN 46845
  • PROVENA UNITED SAMARITANS MEDCTR-LOGAN - (Acute Care)
    812 N LOGAN
    DANVILLE, IL 61832
  • ST MARYS HOSPITAL - (Acute Care)
    400 NORTH PLEASANT AVENUE
    CENTRALIA, IL 62801
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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