WAJAHAT MIRZA (NPI# 1245231570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245231570 |
Entity Type | Individual |
Full Name | WAJAHAT MIRZA |
Credential | MD |
Practice Address |
1170 E Belvidere Rd Suite 212 Grayslake IL 60030-2061 |
Practice Telephone | 8475436814 |
Practice Fax Number | 8475430787 |
Mailing Telephone | 8475436814 |
Mailing Fax Number | 8475430787 |
Enumeration Date | 2005-08-09 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
IL | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699785212 | Wajahat Ali Mirza | Psychiatry & Neurology | 6000 Fairview Rd, Suite 1200, Charlotte, NC 28210-2224 | 2006-08-08 |
Street Address |
1170 E BELVIDERE RD SUITE 212 |
City | GRAYSLAKE |
State | IL |
Zip Code | 60030-2061 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063417921 | William R. Storino | Podiatrist | 1170 E Belvidere Rd, Ste 202, Grayslake, IL 60030-2076 | 2005-06-16 |
1427589027 | Forefront Dermatology, S.c. | Dermatology | 1170 E Belvidere Rd, Suite 206, Grayslake, IL 60030 | 2017-03-24 |
1750826103 | Elizabeth Souza | Social Worker | 1170 E Belvidere Rd, Suite 201, Grayslake, IL 60030-2061 | 2016-12-21 |
1235597485 | Tina Louise Bernardi | Nurse Practitioner | 1170 E Belvidere Rd, Suite 212, Grayslake, IL 60030-2061 | 2016-02-03 |
1043639255 | Tina Mandelman | Nurse Practitioner | 1170 E Belvidere Rd, Suite 106, Grayslake, IL 60030-2061 | 2014-04-15 |
1417264698 | Thurston & Associates | Counselor | 1170 E Belvidere Rd, Suite 201, Grayslake, IL 60030-2061 | 2010-09-09 |
1265672729 | Irma Sharp | Social Worker | 1170 E Belvidere Rd, Grayslake, IL 60030-2061 | 2009-02-24 |
1770737199 | Advocate Condell Medical Center | General Acute Care Hospital | 1170 E Belvidere Rd, Grayslake, IL 60030-2061 | 2008-11-12 |
1114170115 | Christine Louise Jakubec | Audiologist | 1170 E Belvidere Rd, Suite 204, Grayslake, IL 60030-2061 | 2008-11-04 |
1881856821 | Nuha Mariam Shair | Pediatrics | 1170 E Belvidere Rd, Suite 106, Grayslake, IL 60030-2061 | 2008-07-01 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891393781 | Camelot Care Centers, LLC | Clinic/Center | 34121 North Route 45 Suite 207, Grayslake, IL 60030 | 2020-10-13 |
1992347892 | Pier London | Social Worker | 18640 Belivdere Rd., Grayslake, IL 60030 | 2019-10-11 |
1972156529 | Elizabeth Reeve | Counselor | 18640 Belvidere, Grayslake, IL 60030 | 2019-07-23 |
1144725987 | Michael Kraft | Family Medicine | 1475 E. Belvidere Road, Suite 385, Grayslake, IL 60030 | 2018-03-26 |
1255850780 | Megan B March | Speech-Language Pathologist | 33089 N Battershall Rd, Grayslake, IL 60030 | 2017-09-15 |
1669992665 | Easy Oxygen Inc. | Durable Medical Equipment & Medical Supplies | 1862 E Belvidere Road #125, Grayslake, IL 60030 | 2017-06-21 |
1184163628 | Surprenant Chiropractic LLC | Clinic/Center | 1227 N Illinois Route 83, Suite A, Grayslake, IL 60030 | 2017-02-16 |
1700230976 | Camelot Care Centers, LLC. | Foster Care Agency | 34121 North Route 45, Suite 207, Grayslake, IL 60030 | 2016-04-14 |
1932560414 | Vital Therapeutics Inc | Physical Therapist | 34121 N Us 45, Suite 101, Grayslake, IL 60030 | 2016-03-11 |
1093175804 | Zigma Visiting Physician, LLC | General Practice | 4 N Deer Point Dr, 1002, Hainesville, IL 60030 | 2016-03-07 |
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Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124166418 | Rajindar Singh | Internal Medicine | 564 N Barron Boulevard, Suite C, Grayslake, IL 60030 | 2007-02-01 |
1699760801 | Lake Medical Clinic Sc | Internal Medicine | 564 Barron Blvd, Suite C, Grayslake, IL 60030-3355 | 2005-09-14 |
1346561867 | Panagiotis Flevaris | Internal Medicine | 480 S Us Highway 45, Grayslake, IL 60030 | 2010-06-18 |
1669658308 | Wajahat Mirza Md Sc | Internal Medicine | 1170 E Belvidere Rd, Suite 212, Grayslake, IL 60030-2061 | 2008-01-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528596350 | Stat Cardiologist Inc | Internal Medicine | 2425 W 22nd St Ste 209, Oak Brook, IL 60523-4655 | 2017-05-24 |
1306296074 | Safwan Gaznabi | Internal Medicine | Northshore University Healthsystem, Office of Academic Affairs 2650 Ridge Ave., Suite 1304, Evanston, IL 60201 | 2016-06-14 |
1154796290 | Ray Jean Pensinger | Internal Medicine | 105 S. Fleming Rd., Woodstock, IL 60098-7903 | 2015-12-01 |
1073905311 | Cardio Medical Center Sc | Internal Medicine | 7746 West Madison Ave, Forrest Park, IL 60131 | 2015-02-24 |
1427457399 | Charles Joseph Frahm | Internal Medicine | 1200 E Madison Park, Chicago, IL 60615-2961 | 2014-08-17 |
1225447725 | Jeremy R. Estrada | Internal Medicine | 5841 S Maryland Ave # Mc5841, Chicago, IL 60637-1447 | 2014-08-08 |
1285049197 | Nidhi Madan | Internal Medicine | 1717 W Congress Pkwy Ste 317, Chicago, IL 60612 | 2014-06-30 |
1295159184 | Ca Group, LLC | Internal Medicine | 4017 Illinois Route 159, Suite 101, Smithton, IL 62285 | 2014-02-12 |
1457788424 | Chicago Vascular Clinic Ltd | Internal Medicine | 812 E Woodfield Rd, Schaumburg, IL 60173-4714 | 2013-10-04 |
1942634688 | Vein Md Consultants, LLC | Internal Medicine | 1865 N. Eltnor Blvd., West Chicago, IL 60185-5900 | 2013-08-29 |
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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.