MOHAMAD ATA

Nurse Practitioner

Active Individual
NPI: 1457698169

Practice Address

1802 S. MATTIS
Champaign, IL 61821

Phone: (217) 383-3311

Specialties

Specialty Code Primary License
Nurse Practitioner 363L00000X Yes 209017185 (IL)
Nurse Practitioner - Psychiatric/Mental Health 363LP0808X No 209017185 (IL)
Registered Nurse 163W00000X No 041398787 (IL)

Frequently Asked Questions

NPI 1457698169 is the National Provider Identifier for MOHAMAD ATA, a Nurse Practitioner provider located in Champaign, IL. This NPI was enumerated on January 15, 2013.
MOHAMAD ATA practices at 1802 S. MATTIS, Champaign, IL 61821.

Quick Facts

NPI
1457698169
Type
Individual
Enumerated
Jan 15, 2013
Last Updated
Sep 4, 2025

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