KHLIQ ALI
Individual Provider (NPI-1)
Active
Technician, Personal Care Attendant
Provider Information
- NPI Number
1003754300- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3042 W ROOSEVELT RD, CHICAGO, IL, 606123981
- Phone
- (312) 826-5143
Specialties & Taxonomies
Technician, Personal Care Attendant
Primary License: IL
All Addresses
MAILING
101 RICHARDS ST APT 1
JOLIET, IL, 604331016