MUSTAFA ANWER JASIM MAFRAJI (NPI# 1134643364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134643364 |
| Entity Type | Individual |
| Full Name | MUSTAFA ANWER JASIM MAFRAJI |
| Credential | MBBS |
| Practice Address |
1653 W Congress Pkwy Dept Of Chicago IL 60612-3833 |
| Mailing Address |
1653 W Congress Pkwy Dept of Diagnostic Radiology Jelke Building 181 Chicago IL 60612-3833 |
| Practice Telephone | (312) 942-4184 |
| Practice Fax Number | 3129427244 |
| Mailing Telephone | 3129424184 |
| Mailing Fax Number | 3129427244 |
| Enumeration Date | 2017-07-30 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085D0003X |
Radiology Specialization: Diagnostic Neuroimaging |
125069798 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1650 W Harrison St, Chicago, IL 606123800 | (312) 942-0312 | 3129427244 |
| Street Address |
1653 W CONGRESS PKWY DEPT OF |
| City | CHICAGO |
| State | IL |
| Zip Code | 60612-3833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285164335 | Shefali Mandhle | Anesthesiology | 1653 W Congress Pkwy Dept Of, Chicago, IL 60612-3833 | 2017-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144839739 | Sandhya Shri Kannayiram | Internal Medicine | 1901w Harrison Street, Chicago, IL 60612 | 2020-07-29 |
| 1568080174 | Nastaran Ordoyo Haghani Rad | Student in an Organized Health Care Education/Training Program | 1950 W. Polk Street, Room 6203, Chicago, IL 60612 | 2020-07-09 |
| 1669090403 | Marianne Gagnon-konamna | Student in an Organized Health Care Education/Training Program | 1950 West Polk Street, Chicago, IL 60612 | 2020-07-08 |
| 1922625672 | Tanya Montgomery Nee Brown | Pediatrics | 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 | 2020-06-29 |
| 1124643028 | Ashley Swan | Dentist | 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 | 2020-06-16 |
| 1831711381 | Baillie Anne Bronner | Obstetrics & Gynecology | 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 | 2020-05-07 |
| 1154942449 | Keisha Davell Cole | Case Manager/Care Coordinator | 612 S Western Ave Unit 1, Chicago, IL 60612 | 2020-04-28 |
| 1275153777 | Isac Lim | Student in an Organized Health Care Education/Training Program | 1234 S. Wells, Chicago, IL 60612 | 2020-04-24 |
| 1578183414 | Zachary Belden | Student in an Organized Health Care Education/Training Program | Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 | 2020-04-21 |
| 1548880560 | Christina Nunez | Student in an Organized Health Care Education/Training Program | 801 S. Paulina Street, M/c 850, Chicago, IL 60612 | 2020-04-20 |
| Find all providers in zip 60612 | ||||
| Taxonomy Code | 2085D0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Neuroimaging |
| A licensed physician, who has completed a residency program in Neurology, and who has additional training, experience, and competence in the standards of performance and interpretation of Magnetic Resonance Imaging (MRI / MRA) of the head, spine, and peripheral nerves, and Computed Tomography (CT) of the head and spine. Physicians are trained in the administration of contrast media and the recognition and treatment of adverse reactions to contrast media. Neuroimaging training encompasses thorough knowledge of clinical neurology, neurophysiology, neuroanatomy, neurochemistry, neuropharmacology, and dynamics of cerebrospinal fluid circulation. Physicians possess special expertise in the technical aspects and clinical applications of each of the modalities and techniques of neuroimaging. |
| Notes: Source: American Academy of Neurology, www.aan.com [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336701770 | Sreeshma Tellapuri | Radiology | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2019-07-06 |
| 1295213874 | Elie Barakat | Radiology | 5841 S Maryland Ave, Chicago, IL 60637-1443 | 2018-08-05 |
| 1962924902 | Nisa Cem Oren | Radiology | 5841 S Maryland Ave, Chicago, IL 60637-1447 | 2017-07-12 |
| 1609216399 | Ramya Santhosh Gaddikeri | Radiology | 1653 W Congress Pkwy, Chicago, IL 60612-3833 | 2013-06-27 |
| 1578772570 | Milroy S Emmanuel | Radiology | 4955 N Milwaukee Ave, Suite 1, Chicago, IL 60630-2286 | 2007-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104476670 | Nyssa Perkins | Radiology | 4717 N Knoxville Ave, Peoria, IL 61614-6111 | 2019-09-17 |
| 1578956579 | Kwang Soo Kim | Radiology | 6475 N Tower Ct, Lincolnwood, IL 60712-4207 | 2015-03-15 |
| 1134770258 | Conventions Rx, Ltd | Radiology | 1560 Wall St Ste 304, Naperville, IL 60563-1262 | 2019-09-20 |
| 1568604726 | Mariah Haider Bashir | Radiology | 2160 S 1st Ave, Dept of Radiology, Maywood, IL 60153-3328 | 2009-04-01 |
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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.