Most Relevant Information
Provider Data
| NPI Number: | 1003322520 |
| Provider Name: | AMJAD ALI |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/20/2017 |
| Last Updated: | 01/19/2018 |
Provider Practice Location
4804 W CHERRYWOOD CT
MIDLAND
TX
797072601
Practice Location Phone/Fax
| Phone: | 2817855300 |
| Fax: | 2817855300 |
Provider Mailing Location
350 N CLARK ST STE 600
CHICAGO
IL
606544782
Provider Mailing Phone/Fax
| Phone: | 2817855300 |
| Fax: |