TAMER SUHAIL MUSTAFA (NPI# 1760045900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760045900 |
| Entity Type | Individual |
| Full Name | TAMER SUHAIL MUSTAFA |
| Credential | DO |
| Practice Address |
20201 S. Crawford Ave Olympia Fields IL 60461-1010 |
| Mailing Address |
11762 Camelot Ln Orland Park IL 60467-6832 |
| Practice Telephone | 7087474000 |
| Mailing Telephone | 7086123814 |
| Enumeration Date | 2019-04-14 |
| Last Update Date | 2019-04-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
20201 S. CRAWFORD AVE |
| City | OLYMPIA FIELDS |
| State | IL |
| Zip Code | 60461-1010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942449715 | Christina Susi Deangelis | Emergency Medicine | 20201 S. Crawford Ave, Post Doc Education, Olympia Fields, IL 60461 | 2009-02-18 |
| 1336768902 | Kathryn Wanat | Student in an Organized Health Care Education/Training Program | 20201 S. Crawford Ave, Attn: Postdoctoral Education, Olympia Fields, IL 60461-1010 | 2020-04-13 |
| 1326667304 | Elias Salim Khazoum | Student in an Organized Health Care Education/Training Program | 20201 S. Crawford Ave, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2020-04-10 |
| 1659934032 | Yashika Mayur Patel | Student in an Organized Health Care Education/Training Program | 20201 S. Crawford Ave, Attn: Postdoctoral Education, Olympia Fields, IL 60461-1010 | 2019-04-21 |
| 1013274042 | Jennifer Reiland Cueller | Dietitian, Registered | 20201 S. Crawford Ave, Suite 1403, Olympia Fields, IL 60461 | 2012-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609372564 | Katherine Gill Haddad | Student in an Organized Health Care Education/Training Program | 20201 S. Crawford Avenue, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2018-03-31 |
| 1750886610 | Kim Minh Dang | Student in an Organized Health Care Education/Training Program | 20201 South Crawford, Olympia Fields, IL 60461 | 2018-03-23 |
| 1619484110 | Alexandra N. Douvas | Dentist | 20180 Governors Hwy, Ste 104, Olympia Fields, IL 60461 | 2018-01-05 |
| 1992258438 | Krystyne Doty | Nurse Practitioner | 3800 W 203rd St Ste 209, Olympia Fields, IL 60461 | 2016-08-02 |
| 1205286747 | Shirlene Umali | Registered Nurse | 20201 South Crawford Ave, Olympia Fields, IL 60461 | 2016-06-15 |
| 1386002590 | Touch of Wholeness Psychological Services, LLC | Psychologist | 20280 Governors Dr, Suite 207, Olympia Fields, IL 60461 | 2016-02-02 |
| 1063895357 | David Dardick | Dentist | 20180 Governors Hwy Ste 104, Olympia Fields, IL 60461 | 2015-07-04 |
| 1811378623 | Fins Healthcare Agency | Nursing Care | 3612 Lincohn Highway, Suite 19, Olympia Fields, IL 60461 | 2015-06-17 |
| 1285048959 | Garud Ranga Raj | Orthopaedic Surgery | 20817 Alexander St, Olympia Fields, IL 60461 | 2014-06-20 |
| 1811316334 | Brett Hapeman | Emergency Medicine | 20201 S Crawford, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2014-04-11 |
| Find all providers in zip 60461 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477116507 | Michael John Montesano | Student in an Organized Health Care Education/Training Program | 20201 S. Crawford Avenue, Olympia Fields, IL 60461-1010 | 2019-04-15 |
| 1609372564 | Katherine Gill Haddad | Student in an Organized Health Care Education/Training Program | 20201 S. Crawford Avenue, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2018-03-31 |
| 1750886610 | Kim Minh Dang | Student in an Organized Health Care Education/Training Program | 20201 South Crawford, Olympia Fields, IL 60461 | 2018-03-23 |
| 1083236038 | Rushiv Patel | Student in an Organized Health Care Education/Training Program | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2020-05-13 |
| 1922620038 | Mateusz Dawid Gorecki | Student in an Organized Health Care Education/Training Program | 20201 Crawford Ave, Attn: Postdoctoral Education, Olympia Fields, IL 60461-1010 | 2020-05-12 |
| 1306465653 | Alessandra Claire Carrillo | Student in an Organized Health Care Education/Training Program | 20201 S. Crawford, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2020-04-15 |
| 1790304228 | Natalya Mezenina | Student in an Organized Health Care Education/Training Program | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 | 2020-04-14 |
| 1336768902 | Kathryn Wanat | Student in an Organized Health Care Education/Training Program | 20201 S. Crawford Ave, Attn: Postdoctoral Education, Olympia Fields, IL 60461-1010 | 2020-04-13 |
| 1326667304 | Elias Salim Khazoum | Student in an Organized Health Care Education/Training Program | 20201 S. Crawford Ave, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2020-04-10 |
| 1053930008 | Ryan Brooks | Student in an Organized Health Care Education/Training Program | 20201 S. Crawford, Attn: Postdoctoral Education, Olympia Fields, IL 60461 | 2020-04-09 |
| Find all providers in OLYMPIA FIELDS | ||||
| City | OLYMPIA FIELDS |
| Zip Code | 60461 |
Please comment or provide details below to improve the information on TAMER SUHAIL MUSTAFA.
| 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.