MUJAHID MOHAMMAD HUSSAIN (NPI# 1063405223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063405223 |
| Entity Type | Individual |
| Full Name | MUJAHID MOHAMMAD HUSSAIN |
| Credential | M.D. |
| Practice Address |
1850 Gateway Dr Sycamore IL 60178-3192 |
| Practice Telephone | 8157561521 |
| Mailing Telephone | 8157561521 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2019-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
036091955 | IL | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
036091955 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036091955 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 225 Edward St, Sycamore, IL 601782137 | 8158952144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568438968 | Mujahid Hussain | Physical Medicine & Rehabilitation | 883 65 St, Brooklyn, NY 11220-4973 | 2006-02-24 |
| Street Address |
1850 GATEWAY DR |
| City | SYCAMORE |
| State | IL |
| Zip Code | 60178-3192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023018322 | Asra F Khan | Family Medicine | 1850 Gateway Dr, Sycamore, IL 60178-3192 | 2005-07-28 |
| 1528601127 | Michelle L Gosnell | Nurse Practitioner | 1850 Gateway Dr, Sycamore, IL 60178-3192 | 2019-10-26 |
| 1568016335 | Andi Marie Rivers | Nurse Practitioner | 1850 Gateway Dr, Sycamore, IL 60178-3192 | 2019-07-30 |
| 1457815938 | Jessica Moede | Nurse Practitioner | 1850 Gateway Dr, Sycamore, IL 60178-3192 | 2019-01-29 |
| 1265903447 | Kimberly J Aldis | Registered Nurse | 1850 Gateway Dr, Sycamore, IL 60178-3192 | 2018-12-16 |
| 1114401833 | Jennifer Tarvestad | Nurse Practitioner | 1850 Gateway Dr, Sycamore, IL 60178-3192 | 2018-09-18 |
| 1518456003 | Keelin Willits | Urology | 1850 Gateway Dr, Sycamore, IL 60178-3192 | 2018-05-09 |
| 1255853859 | Ricardo Manuel De Oliveira Soares | Urology | 1850 Gateway Dr, Sycamore, IL 60178-3192 | 2017-07-14 |
| 1174067227 | Jamie Gibson | Nurse Practitioner | 1850 Gateway Dr, Sycamore, IL 60178-3192 | 2016-12-08 |
| 1679933139 | Kishwaukee Physician Group, Inc. | Durable Medical Equipment & Medical Supplies | 1850 Gateway Dr, Sycamore, IL 60178-3192 | 2016-02-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578113387 | Susanne Dewey | Technician | 2158 W. Vance St., Sycamore, IL 60178 | 2019-09-13 |
| 1730745332 | Nan Chinratana Phillips | Registered Nurse | 427 Spartan Trail Shs Nurse Office, Sycamore, IL 60178 | 2019-05-20 |
| 1427517846 | Association for Individual Development | Clinic/Center | 180 E. Exchange St., #202a, Sycamore, IL 60178 | 2019-03-15 |
| 1528508884 | Mary Elizabeth Kelley | Counselor | 920 S Prairie Dr., F, Sycamore, IL 60178 | 2017-03-06 |
| 1366824005 | Dekalb Hearing Services, LLC | Audiologist | 1630 Gateway Drive, Sycamore, IL 60178 | 2015-06-18 |
| 1629458625 | Friedrichs Eye Ltd. | Ophthalmology | 2670 Dekalb Avenue, Sycamore, IL 60178 | 2015-06-04 |
| 1275912057 | Sara Haug | Counselor | 324 E. Exchange St, Sycamore, IL 60178 | 2015-05-26 |
| 1144607862 | Dekalb Surgical Services, LLC | Clinic/Center | 2515 Klein Road, Sycamore, IL 60178 | 2015-05-01 |
| 1720476963 | Jennifer Calderala | Registered Nurse | 165 E. Plank Road, Sycamore, IL 60178 | 2014-12-22 |
| 1114262656 | Teresa Kay Farris | Nurse Practitioner | 1850 Gateway Drive, Sycamore, IL 60178 | 2012-12-11 |
| Find all providers in zip 60178 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497763486 | Consultants of Internal Medicine Ltd | Internal Medicine | 1711 Dekalb Avenue, Suite C4, Sycamore, IL 60178 | 2006-08-04 |
| 1629084579 | Shih-wen Chang | Internal Medicine | 1711 Dekalb Ave, Suite C4, Sycamore, IL 60178 | 2006-07-31 |
| 1093843062 | Medventures Medical LLC | Internal Medicine | 225 Edward St, Sycamore, IL 60178-2137 | 2007-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720636202 | Pulmonary Associates Ltd | Internal Medicine | 71 W 156th St Ste 203, Harvey, IL 60426-4262 | 2019-08-28 |
| 1336516467 | Hesham A. Hassaballa, Md, Ltd | Internal Medicine | 109 Symonds Dr Unit 684, Hinsdale, IL 60522-7304 | 2015-08-24 |
| 1497141394 | Pulmonary and Critical Care Solutions, LLC | Internal Medicine | 6116 N 2200 East Rd, Downs, IL 61736-9459 | 2015-04-08 |
| 1558771220 | Christopher Charles Sutton | Internal Medicine | 3 Saint Elizabeth Blvd, O Fallon, IL 62269-1281 | 2014-05-05 |
| 1861835985 | Christie Ann Brillante | Internal Medicine | 1801 W. Taylor, Suite 3c, Chicago, IL 60612-4795 | 2013-04-08 |
| 1992050850 | Thomas Christopher Draghi | Internal Medicine | 155 Linden Ave, Oak Park, IL 60302-2610 | 2012-07-17 |
| 1144586041 | Robert T Zeck | Internal Medicine | 13141 Lake Mary Dr, Plainfield, IL 60585-2650 | 2012-04-04 |
| 1508160359 | Aziz Rahman Md Facp PC | Internal Medicine | 1050 Martin Luther King Dr, Ste 109, Centralia, IL 62801 | 2011-01-07 |
| 1811211774 | Vitalcare Medical Sc | Internal Medicine | 1146 S Waukegan Rd, Waukegan, IL 60085-6731 | 2010-03-22 |
| 1508095605 | Farhan Zaidi | Internal Medicine | 444 N Northwest Hwy Ste 206, Park Ridge, IL 60068 | 2009-07-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.