Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mir M Ali, MD

Individual provider Internal Medicine Physician · NPI 1518237585

Mir M Ali, MD is a Hematology/Oncology in Libertyville, Illinois. Qualified in 2004, 22 years ago. Practices with Phc-Las Cruces Inc, a 22-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California, Illinois, Indiana and New York.

Years since qualifying
22
Licensed in
CA, IL, IN, NY
In the registry since
2012
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1800 Hollister Dr Ste 112
Libertyville, IL 60048-5265
Phone: (847) 367-6781
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 155 N Fresno St, Fresno, CA 93701-2302 — (559) 499-6500

Specialties & licences

Hematology & Oncology Physician (primary) Taxonomy 207RH0003X · Licence 036.152740 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 01070723A (IN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 148315 (CA)
Internal Medicine Physician Taxonomy 207R00000X · Licence 276959 (NY)

Record details

NPI number1518237585
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 9, 2012
Last updated in NPPESDecember 16, 2021
Certification dateDecember 16, 2021
Mailing address1800 Hollister Dr Ste 112, Libertyville, IL 60048-5265

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHEMATOLOGY/ONCOLOGY
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Phc-Las Cruces Inc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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