Syed Masood Ali, Mdsc
Syed Masood Ali, Mdsc is a General Practice Physician in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
4930 N Executive DrPeoria, IL 61614-4894
Phone: (309) 692-7575
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Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X · Licence 036067626 (IL) |
|---|
Record details
| NPI number | 1689896961 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Susan Lafollette — Billing Manager · (309) 671-8749 |
| Other names | Glen Avenue Family Practice |
| NPI enumerated | May 3, 2007 |
| Last updated in NPPES | June 30, 2008 |
| Mailing address | 4930 N Executive Dr, Peoria, IL 61614-4894 |
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