ALIREZA SHOWRAKI


Address: 751 N Rutledge St, Springfield, IL 62702-4968
Phone: 2175458000

ALIREZA SHOWRAKI (NPI# 1215597398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215597398
Entity Type Individual
Full Name ALIREZA SHOWRAKI
Practice Address 751 N Rutledge St
Springfield
IL 62702-4968
Mailing Address Po Box 19643
Springfield
IL 62794-9643
Practice Telephone 2175458000
Practice Fax Number 2175454282
Mailing Telephone 2175458000
Mailing Fax Number 2175454282
Enumeration Date 2019-06-19
Last Update Date 2019-11-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 125074025 IL Allopathic & Osteopathic Physicians
Y 2084N0400X Psychiatry & Neurology
Specialization: Neurology
125074025 IL Allopathic & Osteopathic Physicians

Office Location

Street Address 751 N RUTLEDGE ST
City SPRINGFIELD
State IL
Zip Code 62702-4968

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023011863 Lucinda S Buescher Dermatology 751 N Rutledge St, Springfield, IL 62702-4909 2005-05-24
1831798933 Robin E Simon Nurse Practitioner 751 N Rutledge St, Springfield, IL 62702-4968 2020-10-20
1891308185 Whitney Ringer Nurse Practitioner 751 N Rutledge St, Springfield, IL 62702-4968 2020-08-26
1518581149 Aliza Hasan Dermatology 751 N Rutledge St, Springfield, IL 62702-4968 2020-05-29
1215559943 Sindhu Reddy Pisati Psychiatry & Neurology 751 N Rutledge St, Springfield, IL 62702-4968 2020-05-15
1205458270 Paul Hyatt Guerin Psychiatry & Neurology 751 N Rutledge St, Springfield, IL 62702-4968 2020-05-13
1881252013 Andrew Paul Thaliath Internal Medicine 751 N Rutledge St, Springfield, IL 62702-4968 2019-06-03
1891352126 Emily M Ackerman Nurse Practitioner 751 N Rutledge St, Springfield, IL 62702-4968 2019-05-22
1245725308 Cory Edward Sykora Psychiatry & Neurology 751 N Rutledge St, Springfield, IL 62702-4968 2018-06-29
1982199303 Mehwish Farooqi Psychiatry & Neurology 751 N Rutledge St, Springfield, IL 62702-4968 2018-06-27
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457866519 Mohammad Jamal Uddin Ansari Internal Medicine 751 N Rutledge St Ste 400, Springfield, IL 62702 2017-12-11
1588105811 Mickey Graphia Surgery 701 N 1st St # D346, Springfield, IL 62702 2017-03-20
1376908913 Abdul Hannan Internal Medicine 315 W Carpenter St # B, Springfield, IL 62702 2015-12-28
1871986414 Rachel Hoselton Nurse Practitioner 400 N 9th St Fl 4, Springfield, IL 62702 2015-03-06
1548697774 Alyssa Wilson Behavioral Analyst 232 Bruns Lane, One Sparcenter Plaza, Springfield, IL 62702 2013-10-02
1174965446 Amy Wilson Speech-Language Pathologist 2120 West Washington Street, Springfield, IL 62702 2013-07-26
1275898116 Pele Boutrous Dina Pediatrics 415 N 9th St # 4w16, Springfield, IL 62702 2012-07-06
1427327733 Brook D Croke Genetic Counselor, MS 400 N. 9th Street, 3rd Floor Clinic B, Springfield, IL 62702 2011-12-16
1629352604 Renae M Sanchez Pharmacist 3216 East Clearlake Ave, Springfield, IL 62702 2011-10-07
1982915302 William Leland Zelkovich Radiology 701 N 1st, Springfield, IL 62702 2010-06-30
Find all providers in zip 62702

Taxonomy Information

Taxonomy Code 2084N0400X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750941639 Ammar Tarabichi Psychiatry & Neurology 751 N Rutledge, Springfield, Il, Springfield, IL 62794 2019-06-13
1316441470 Earl Randolph Hackett Psychiatry & Neurology 2517 S. Brentwood, Springfield, MO 65804-3201 2018-03-22
1336668326 Western Mass Neurology PC Psychiatry & Neurology 175 Carew St Ste 140, Springfield, MA 01104-2389 2017-09-12
1407111313 Pavan Tummala Psychiatry & Neurology 3800 S National Ave Ste 900, Springfield, MO 65807-5209 2012-07-06
1194083105 Mersedeh Bahr Hosseini Psychiatry & Neurology 3311 Riverbend Dr., Neurohospitalists, Springfield, OR 97477 2012-04-26
1053553560 Quantum Total Health Psychiatry & Neurology 607 S Locust St, Springfield, TN 37172 2009-03-30
1154513687 Fazeel Mukhtar Siddiqui Psychiatry & Neurology 751 N Rutledge St Ste 3100, Springfield, IL 62702-4968 2007-08-17
1164593646 Michael Balm Psychiatry & Neurology 1 Hayden Bridge Way Ste 410, Springfield, OR 97477-1347 2006-11-13
1881638591 Rodney D Quinn Psychiatry & Neurology 3801 S National Ave # 900, Springfield, MO 65807-5210 2006-06-15
1750332771 Sleep Medicine Services of Western Massachusetts LLC Psychiatry & Neurology 3640 Main St Ste 208, Springfield, MA 01107-1192 2006-05-15
Find all providers in SPRINGFIELD

Competitor

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City SPRINGFIELD
Zip Code 62702

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Dataset Information

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.

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