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1376163261
MD S ALI
CARBONDALE, IL
NPI
1376163261
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 036166566)
Enumeration Date
2020-04-21
Last Update Date
2023-10-01
Business Address
MD S ALI MD
405 W JACKSON ST
CARBONDALE, IL 62901-1462
Phone number: 618-549-0721
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Mailing Address
MD S ALI MD
405 W JACKSON ST
CARBONDALE, IL 62901-1462
Phone number: 917-214-2823
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