MAQBOOL B ALI


Address: 4930 N Executive Dr, Peoria, IL 61614-4894
Phone: 3096927575

MAQBOOL B ALI (NPI# 1801874565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801874565
Entity Type Individual
Full Name MAQBOOL B ALI
Credential M.D
Practice Address 4930 N Executive Dr
Peoria
IL 61614-4894
Practice Telephone 3096927575
Practice Fax Number 3096920275
Mailing Telephone 3096927575
Mailing Fax Number 3096920275
Enumeration Date 2006-01-04
Last Update Date 2008-01-10
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery 036058850 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL MEDICARE GROUP NUMBER 212742 01

Office Location

Street Address 4930 N EXECUTIVE DR
City PEORIA
State IL
Zip Code 61614-4894

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912129271 Greater Peoria Obstetrics & Gynecology Corp Sc Specialist 4930 N Executive Dr, Peoria, IL 61614-4894 2007-05-03
1689896961 Syed Masood Ali, Mdsc General Practice 4930 N Executive Dr, Peoria, IL 61614-4894 2007-05-03
1699839985 Peoria Integrative Medical Center Ltd Family Medicine 4930 N Executive Dr, Suite B, Peoria, IL 61614-4894 2006-12-20
1700805439 Syed Masood Ali Family Medicine 4930 N Executive Dr, Peoria, IL 61614-4894 2006-07-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548818511 Christine Svoboda Social Worker 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 2019-09-03
1639649007 Kathy Karouzos Counseling, LLC Clinic/Center 330 W. Ivy Ln., Peoria, IL 61614 2018-11-28
1205312790 Kathleen Marie Hendricks Nurse Practitioner 2809 W Willow Knolls Dr, Peoria, IL 61614 2018-07-17
1629563937 Mary Elizabeth Cunningham Counselor 6219 N. Eldorado Dr., Peoria, IL 61614 2018-06-28
1861937955 Angela Gilles Social Worker 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 2016-12-27
1467994897 Melissa Saxsma Specialist 5009 N Executive Dr, Peoria, IL 61614 2016-11-16
1902258874 Rashid Plastic Surgery, LLC Plastic Surgery 804 W Trailcreek Drive, Peoria, IL 61614 2016-07-05
1215313143 Melissa Lynn Phelan Nurse Practitioner 122 E Morningside Dr, Peoria, IL 61614 2015-08-03
1811380165 All Ways Caring Services, Inc. In Home Supportive Care 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 2015-03-11
1568875920 Schuler & Arkwell Orthodontic Partnership Dentist 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 2014-06-03
Find all providers in zip 61614

Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235760406 Star Surgery Center, LLC Surgery 14155 N 83rd Ave Ste 140, Peoria, AZ 85381-5652 2020-01-28
1093008237 Jordan J Glenn Surgery 6750 W Thunderbird Rd Ste B-108, Peoria, AZ 85381-5026 2011-05-20
1023207131 Comprehensive Breast Center of Arizona Plc Surgery 9179 W Thunderbird Rd # 103, Peoria, AZ 85381-4875 2007-10-15
1659589653 Matthew Lawrence Lynch Surgery 26900 N Lake Pleasant Pkwy, Peoria, AZ 85383-1558 2007-05-21
1457480063 Lorin Dixon Whittaker Jr. Surgery 624 Ne Glen Oak Ave, 2686, Peoria, IL 61603-3135 2007-03-02
1639132087 Brian Edward Prebil Surgery 14155 N. 83rd Ave., Ste. A-105, Peoria, AZ 85381 2006-04-07
1073584470 Eric L Thomas Surgery 14155 N 83rd Ave Ste A105, Peoria, AZ 85381-5640 2006-02-01
1518956465 Leann Cari Allgood Surgery 9159 W Thunderbird Rd, Peoria, AZ 85381-4910 2005-10-13
1225037310 John J Brothwell Surgery 9856 W Villa Lindo Dr, Peoria, AZ 85383-1339 2005-07-20
1962401117 Allen A Agapay Surgery 6750 W Thunderbird Rd, Ste B108, Peoria, AZ 85381-5026 2005-07-19
Find all providers in PEORIA

Competitor

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City PEORIA
Zip Code 61614

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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