HASSAN MOGHADAM MD SC (NPI# 1932205671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932205671 |
| Entity Type | Organization |
| Organization Name | HASSAN MOGHADAM MD SC |
| Practice Address |
120 Spalding Dr Suite 407 Naperville IL 60540-6508 |
| Mailing Address |
Po Box 967 Tinley Park IL 60477-0967 |
| Practice Telephone | 6303574260 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2008-07-16 |
| Authorized Official Name | HASSAN A MOGHADAM (OWNER / MD) |
| Authorized Official Telephone | 6303574260 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
036057766 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS OF IL | 0002201310 | 01 |
| IL | 036057766 | 05 |
| Street Address |
120 SPALDING DR SUITE 407 |
| City | NAPERVILLE |
| State | IL |
| Zip Code | 60540-6508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538166210 | David Schlieben | Internal Medicine | 120 Spalding Dr, Suite 410, Naperville, IL 60540-6508 | 2005-07-07 |
| 1760915276 | Julie Ann Freeman | Nurse Practitioner | 120 Spalding Dr, Ste 200, Naperville, IL 60540-6508 | 2017-04-11 |
| 1770037947 | Jason Vick | Nurse Practitioner | 120 Spalding Dr, Suite 310, Naperville, IL 60540-6508 | 2016-08-05 |
| 1104209832 | Tania M Yackle | Social Worker | 120 Spalding Dr, 408, Naperville, IL 60540-6508 | 2015-06-30 |
| 1558740563 | Edward Health Ventures | Surgery | 120 Spalding Dr, Ste 200, Naperville, IL 60540-6508 | 2015-05-22 |
| 1518345008 | Heidi Meekma | Nurse Practitioner | 120 Spalding Dr, Suite 111, Naperville, IL 60540-6508 | 2015-05-15 |
| 1881088557 | Edward Health Ventures | Psychiatry & Neurology | 120 Spalding Dr, Ste 307, Naperville, IL 60540-6508 | 2015-03-20 |
| 1366840407 | Beverly Wendell | Clinical Nurse Specialist | 120 Spalding Dr, Suite 111, Naperville, IL 60540-6508 | 2014-12-05 |
| 1063830081 | Edward Health Ventures | Clinic/Center | 120 Spalding Dr, Ste 207, Naperville, IL 60540-6508 | 2014-04-07 |
| 1255755617 | Melissa Ricks | Physician Assistant | 120 Spalding Dr, Suite 400, Naperville, IL 60540-6508 | 2014-02-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760007678 | Mandalai Oral and Maxillofacial Surgery PC | Oral & Maxillofacial Surgery | 720 S. Brom Drive Suite 103, Naperville, IL 60540 | 2020-06-16 |
| 1316418957 | James Edward Frank | Counselor | 600 South Washington Street, Suite 302, Naperville, IL 60540 | 2018-12-07 |
| 1093208332 | Ingrid Johnson | Developmental Therapist | Right Start Pediatric Therapies, 50 S Main St Suite 200, Naperville, IL 60540 | 2018-06-12 |
| 1225528524 | Tara Rada Nieberding | Contractor | 1701 Quincy Ave Ste 12, Naperville, IL 60540 | 2018-05-14 |
| 1588182190 | Debra Xiangjun Hayes | Acupuncturist | 226 N Washington St # 2, Naperville, IL 60540 | 2017-09-03 |
| 1487197166 | Health Improvement and Preventive Services LLC | Family Medicine | 1979 Mcdowell Rd., Suite 103, Naperville, IL 60540 | 2016-11-29 |
| 1588013775 | Matthew Jacob Imber | Chiropractor | 1220 Hobson Rd Ste 220, Naperville, IL 60540 | 2016-06-08 |
| 1457711418 | Elite Pain Medical Group Inc | Physical Medicine & Rehabilitation | 720 South Brom Drive, Suite 201, Naperville, IL 60540 | 2016-03-03 |
| 1265814800 | Jenifer Lynn Mersman | Chiropractor | 475 River Bend Rd. Suite 104, Naperville, IL 60540 | 2015-06-19 |
| 1386038016 | Jonathon Martin Ruiz | Specialist/Technologist | 440 N Brainard Street, Naperville, IL 60540 | 2015-03-19 |
| Find all providers in zip 60540 | ||||
| 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 |
|---|---|---|---|---|
| 1447545579 | Advanced Behavioral Health Services LLC | Psychiatry & Neurology | 1952 Mc Dowell Rd Ste 305, Naperville, IL 60563-6507 | 2011-06-16 |
| 1801849161 | Lisa C Pellegrini | Psychiatry & Neurology | 1250 N Mill St, Ste 100, Naperville, IL 60563-6304 | 2006-05-18 |
| 1487629572 | Grace Cheng | Psychiatry & Neurology | 1964 Springbrook Square Dr Ste 108a, Naperville, IL 60564-5949 | 2006-02-22 |
| 1720377328 | Nicholas Ryan Mathenia | Psychiatry & Neurology | 120 Spalding Dr, Suite 101, Naperville, IL 60540-6508 | 2011-04-04 |
| 1437314630 | Reem Beckerly | Psychiatry & Neurology | 100 Spalding Dr Ste 200, Naperville, IL 60540-6552 | 2008-07-28 |
| 1891958401 | Manish Prabhakar Kapadia | Psychiatry & Neurology | 636 Raymond Dr, 304, Naperville, IL 60563-9789 | 2008-07-03 |
| 1366647232 | Hurmina Muqtadar | Psychiatry & Neurology | 120 Spalding Dr, Naperville, IL 60540-6508 | 2007-06-19 |
| 1497850010 | Hassan A Moghadam | Psychiatry & Neurology | 120 Spalding Dr, Suite 407, Naperville, IL 60540-6508 | 2006-09-14 |
| 1427069558 | Edward Hospital | Psychiatry & Neurology | 801 S Washington St, Naperville, IL 60540-7430 | 2006-08-11 |
| 1396785127 | Mohammad Sajed | Psychiatry & Neurology | 120 Spalding Dr, Ste 101, Naperville, IL 60540-6508 | 2006-06-08 |
| Find all providers in NAPERVILLE | ||||
| City | NAPERVILLE |
| Zip Code | 60540 |
Please comment or provide details below to improve the information on HASSAN MOGHADAM MD SC.
| 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.