Individual ProviderVan Hong AliEmergency MedicineAllopathic & Osteopathic PhysiciansPractice Address4201 W Medical Center Dr, Mchenry, IL 60050-8409(815) 759-4323PECOS EnrollmentThis provider is enrolled in PECOS as VAN ALI.Based on the most recent information from CMS, provider Van Hong Ali is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1457674582Provider TypeIndividualFull NameAli, Van HongGenderFemaleSole ProprietorYesEnumeration Date3/3/2010Last Updated5/3/2021Contact InformationPractice LocationPractice Address4201 W Medical Center Dr, Mchenry, IL 60050-8409Phone(815) 759-4323Fax(815) 363-9094Mailing LocationMailing Address4201 W Medical Center Dr, Mchenry, IL 60050-8409Phone(815) 759-4323Fax(815) 363-9094Provider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense036147928IllinoisCode133V00000XDescriptionDietitian, RegisteredDietary & Nutritional Service ProvidersLicenseUnlisted IssuerCode207P00000XDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense125066689Illinois