Search › Illinois › 222Q00000X
Ali Douglass
NPI 1770425928 · on the registry since 2026 · sole proprietor
Practice
- Address
- 21 Ivey Ct
Bloomington, IL 61701 - Phone
- (309) 634-6749
Registry record
- Primary taxonomy
- 222Q00000X
222Q00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-04-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois