Provider Demographics
NPI:1386086791
Name:ALI-BURFORD, ZARINAH (CRNA)
Entity type:Individual
Prefix:
First Name:ZARINAH
Middle Name:
Last Name:ALI-BURFORD
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306A WOODCREEK DR
Mailing Address - Street 2:APT. 301
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-3375
Mailing Address - Country:US
Mailing Address - Phone:773-428-4010
Mailing Address - Fax:
Practice Address - Street 1:306A WOODCREEK DR
Practice Address - Street 2:APT 301
Practice Address - City:BOLINGBROOK
Practice Address - State:IL
Practice Address - Zip Code:60440-3375
Practice Address - Country:US
Practice Address - Phone:773-428-4010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-26
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209010661367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered