IndividualActive
Ali Pervez, DO
NPI 1679000178 · Psychiatry Physician · Kenosha, WI
Provider details
- NPI number
- 1679000178
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 34.014622 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
12225 71st St
Kenosha, WI 53142-7320
Phone: (877) 666-7223
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 735044
Chicago, IL 60673-5044
Additional practice locations (2)
- 3000 Arlington Ave # Ms 1193Toledo, OH 43614-2595Phone: (419) 383-5674Fax: (419) 383-3183
- 12225 71st StKenosha, WI 53142-7320Phone: (877) 666-7223
Registry dates
- Enumerated
- 2017-05-15
- Last updated
- 2024-11-17
- Certified
- 2024-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.