Syed Masood Ali, Mdsc

NPI #1689896961 in Peoria, Illinois

Provider Information

NPI Number: 1689896961
Entity Type: Organization
Organization Name: Syed Masood Ali, Mdsc
Primary Specialty: General Practice
Enumeration Date: May 3, 2007
Last Updated: Jun 30, 2008

Practice Location

Address: 4930 N EXECUTIVE DR
City: Peoria
State: Illinois
ZIP Code: 61614-4894
Phone: (309) 692-7575

Authorized Official

Name: SUSAN LAFOLLETTE
Title: BILLING MANAGER
Phone: (309) 671-8749

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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