SYED MASOOD ALI MDSC NPI 1689896961

NPI Information

SYED MASOOD ALI, MDSC is a general practice in Peoria, IL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee SYED MASOOD ALI, MDSC NPI is 1689896961. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Glen Avenue Family Practice.

The provider's business location address is:

4930 N EXECUTIVE DR
PEORIA, IL
ZIP 61614-894
Phone: (309) 692-7575

The provider's authorized official is Susan Lafollette .
The authorized official title is Billing Manager and has the following contact phone number (309) 671-8749.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 6/30/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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