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MOHAMAD ATA
Nurse Practitioner
NPI: 1457698169IndividualAccepts Medicare
Specialties, Licenses & Credentials
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
209017185(IL)
Psychiatric/Mental Health Nurse Practitioner
Nurse Practitioner — Psychiatric/Mental Health
Code: 363LP0808X
209017185(IL)
Registered Nurse
Registered Nurse
Code: 163W00000X
041398787(IL)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Class of 2017
Contact & Hours
- Address
- 1802 S. MATTIS
CHAMPAIGN, IL 61821 - Phone
- (217) 383-3311
Quick Facts
- NPI
- 1457698169
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 3
- Locations
- 1
- Years in Practice
- 9
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