institution
Syed Masood Ali, Mdsc
General Practice Physician in Peoria, Illinois
NPI 1689896961

Syed Masood Ali, Mdsc is a General Practice Physician based in Peoria, IL. Syed Masood Ali, Mdsc practices in Peoria, IL. The NPI Number for Syed Masood Ali, Mdsc is 1689896961 and holds a License No. 036067626 (Illinois).

The current practice location address for Syed Masood Ali, Mdsc is 4930 N Executive Dr, Peoria, IL and can be reached out via phone at 309-692-7575.

Location: 4930 N Executive Dr, Peoria, IL, 61614-4894
institution
Provider Profile Details
NPI Number
1689896961
Provider Name
Syed Masood Ali, Mdsc
Credential
Provider Entity Type
Organization
Address
4930 N Executive Dr, Peoria, IL, 61614-4894
Phone Number
309-692-7575
Fax Number
Provider Enumeration Date
05/03/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
212719 01 IL MEDICARE GROUP ID
institution
Provider Business Practice Location Address Details
Address
4930 N Executive Dr
City
State
Zip
61614-4894
Phone Number
309-692-7575
Fax Number
person
Provider Business Mailing Address Details
Address
4930 N Executive Dr
City
State
Zip
61614-4894
Phone Number
309-692-7575
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
036067626 (Illinois)
Definition
Definition to come...
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