WALID M HAFEZ (NPI# 1902814957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902814957 |
| Entity Type | Individual |
| Full Name | WALID M HAFEZ |
| Credential | MD |
| Practice Address |
927 Broadway Ste 302 Quincy IL 62301 |
| Practice Telephone | 2172246423 |
| Practice Fax Number | 2172233641 |
| Mailing Telephone | 2172246423 |
| Mailing Fax Number | 2172233641 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2010-12-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
036.056609 | IL | Allopathic & Osteopathic Physicians |
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
036056609 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036056609 | 05 |
| Street Address |
927 BROADWAY STE 302 |
| City | QUINCY |
| State | IL |
| Zip Code | 62301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969471 | Lutheran Child and Family Service of Illinois | Foster Care Agency | 1400 N. 30th St, Quincy, IL 62301 | 2020-07-07 |
| 1134749716 | Bethany Nicole Jumps | Pharmacist | Broadway St & N 11th St, Quincy, IL 62301 | 2020-04-23 |
| 1043844293 | S.crider Construction An Supply Corp. | Contractor | 529 Woodbridge Dr., Quincy, IL 62301 | 2020-02-26 |
| 1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
| 1043851488 | West Central Illinois Nutrition | In Home Supportive Care | 639 York St. Room 333, Quincy, IL 62301 | 2019-10-07 |
| 1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
| 1194255083 | Michael Andrew Behrens | Nurse Practitioner | Broadway and 11th Street, Quincy, IL 62301 | 2017-06-14 |
| 1770987323 | Kirsty Yvonne Reed | Counselor | 205 S. 24th Street, Chaddock, Quincy, IL 62301 | 2014-10-10 |
| 1114234499 | Dale D. Shahan Dds Ltd | Dentist | 636 Hampshire Suite 102, Quincy, IL 62301 | 2010-09-08 |
| 1730314071 | James D Kaufmann | Pharmacist | 14th & Broadway, Quincy, IL 62301 | 2009-05-15 |
| Find all providers in zip 62301 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912177130 | Walid M Hafez Md PC | Psychiatry & Neurology | 1828 State St, Quincy, IL 62301-5166 | 2008-03-04 |
| 1275962243 | Taofik Nasrat | Psychiatry & Neurology | 1107 College Ave, Quincy, IL 62301 | 2013-11-11 |
| 1699030551 | Daniel K. Kimple | Psychiatry & Neurology | 1118 Hampshire St, Quincy, IL 62301-3027 | 2012-07-06 |
| 1548404981 | Ernest H Picard | Psychiatry & Neurology | 1600 Crown Colony Dr, Quincy, MA 02169-0913 | 2009-04-29 |
| 1003077389 | Austin Hake | Psychiatry & Neurology | 1118 Hampshire St, Quincy, IL 62301-3027 | 2008-06-19 |
| 1003834433 | Anil K Nair | Psychiatry & Neurology | 54 Miller St, 4th Floor, Quincy, MA 02169-4725 | 2006-07-17 |
| 1093748360 | Rizkalla A. Mouchati | Psychiatry & Neurology | 500 Congress St, Suite 1h, Quincy, MA 02169-0908 | 2006-07-09 |
| 1467425603 | Douglas N Sullivant | Psychiatry & Neurology | 1025 Maine St, Quincy, IL 62301-4038 | 2006-02-08 |
| 1083687578 | Linda M Johnson | Psychiatry & Neurology | 1025 Maine St, Quincy, IL 62301-4038 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831714294 | Kaitlin E Keenan | Psychiatry & Neurology | 600 S Paulina St Ste 403aac, Chicago, IL 60612-3806 | 2020-06-11 |
| 1811546484 | Glencor Neuromonitoring LLC | Psychiatry & Neurology | 611 S Milwaukee Ave Ste 8, Libertyville, IL 60048-3256 | 2019-09-06 |
| 1750941639 | Ammar Tarabichi | Psychiatry & Neurology | 751 N Rutledge, Springfield, Il, Springfield, IL 62794 | 2019-06-13 |
| 1972167906 | Kazkaz Southwest Neurology S.c. | Psychiatry & Neurology | 1890 Silver Cross Blvd Ste 320, New Lenox, IL 60451-9610 | 2019-04-25 |
| 1285195594 | Niccolo Emanuele Mencacci | Psychiatry & Neurology | 303 E Chicago Ave # 12-226, Chicago, IL 60611-4296 | 2019-03-28 |
| 1497216865 | Juan Pablo Ospina Botero | Psychiatry & Neurology | 5841 S Maryland Ave # 2030s231, Chicago, IL 60637-1443 | 2019-03-28 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1124526272 | Neurology Clinic of Chicago, LLC | Psychiatry & Neurology | 4909 W Division St Ste 302, Chicago, IL 60651-3161 | 2018-01-23 |
| 1538514120 | Kathleen Mary Gorman | Psychiatry & Neurology | 225 E Chicago Avenue, Chicago, IL 60611 | 2016-05-02 |
| 1396190203 | Lauren Brandes | Psychiatry & Neurology | 1725 W Harrison St Ste 309, Chicago, IL 60612-3844 | 2016-04-28 |
| Find all providers with the same taxonomy | ||||
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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.