MUSTANSAR RAZA (NPI# 1326441072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326441072 |
Entity Type | Individual |
Full Name | MUSTANSAR RAZA |
Credential | M.D. |
Practice Address |
1786 Moon Lake Blvd Ste 104 Hoffman Estates IL 60169-1016 |
Practice Telephone | 8477558090 |
Mailing Telephone | 8477558090 |
Enumeration Date | 2014-10-08 |
Last Update Date | 2018-10-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
036147264 | IL | Allopathic & Osteopathic Physicians |
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
036147264 | IL | Allopathic & Osteopathic Physicians |
Street Address |
1786 MOON LAKE BLVD STE 104 |
City | HOFFMAN ESTATES |
State | IL |
Zip Code | 60169-1016 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093132284 | Elizabeth Sita | Psychiatry & Neurology | 1786 Moon Lake Blvd Ste 104, Hoffman Estates, IL 60169 | 2014-03-25 |
1801376744 | Morgan Leigh Probst | Nurse Practitioner | 1786 Moon Lake Blvd Ste 104, Hoffman Estates, IL 60169-1016 | 2018-08-20 |
1386162238 | Susy Wanjiro Ojwang | Nurse Practitioner | 1786 Moon Lake Blvd Ste 104, Hoffman Estates, IL 60169-1016 | 2017-08-30 |
1801318928 | Alexian Brothers Behavioral Health Hospital | Counselor | 1786 Moon Lake Blvd Ste 104, Hoffman Estates, IL 60169-1016 | 2017-07-11 |
1720446982 | Carlana F Schoonover | Counselor | 1786 Moon Lake Blvd Ste 104, Hoffman Estates, IL 60169-1016 | 2016-02-03 |
1770972028 | Scott Paul Burgess | Social Worker | 1786 Moon Lake Blvd Ste 104, Hoffman Estates, IL 60169-1016 | 2015-01-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538639109 | Kathryn Grace Simpson | Behavioral Analyst | 2500 W Higgins Rd Suite 870, Hoffman Estates, IL 60169 | 2018-11-27 |
1821507195 | Anna Catsaros | Speech-Language Pathologist | 1030 W. Higgins Road, Hoffman Estates, IL 60169 | 2017-09-29 |
1831628908 | Htgr, Ltd | Dentist | 2200 N. Higgins Rd, Ste 335, Hoffman Estates, IL 60169 | 2017-06-12 |
1023541521 | Tamara M Nowak | Counselor | 2455 Dean St., Suite 3g, St. Charles, IL 60169 | 2017-04-11 |
1275995813 | Eraj Din | Pediatrics | 2500 W Higgins Rd Ste 440, Hoffman Estates, IL 60169 | 2016-03-23 |
1871965764 | Hameed U. Baig | Family Medicine | 1446 Della Drive, Hoffman Estates, IL 60169 | 2015-10-30 |
1316365620 | Eye See Optical Inc. | Clinical Medical Laboratory | 1071 W. Golf Rd., Hoffman Estates, IL 60169 | 2014-04-03 |
1881017895 | Katie Forsythe | Counselor | 990 Grand Canyon Pkwy Ste 420, Hoffman Estates, IL 60169 | 2014-01-27 |
1831447432 | Suma Karandikar | Counselor | 2500 W Higgins Rd Ste 570, Hoffman Estates, IL 60169 | 2012-08-29 |
1881949295 | Jonathan George Perle | Counselor | 2300 N. Barrington Rd, Suite 440, Hoffman Estates, IL 60169 | 2012-07-23 |
Find all providers in zip 60169 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427083294 | Mumtaz Raza | Psychiatry & Neurology | 1786 Moon Lake Blvd, Suite 104, Hoffman Estates, IL 60194-5029 | 2006-07-11 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144851684 | Greywood Health Center LLC | Psychiatry & Neurology | 303 W Institute Pl Fl 3, Chicago, IL 60610-3080 | 2020-02-03 |
1285273540 | Tms Clinical Services Pllc | Psychiatry & Neurology | 1100 Jorie Blvd Ste 172, Oak Brook, IL 60523-4409 | 2020-01-03 |
1942702386 | Brain and Wellness Institute LLC | Psychiatry & Neurology | 30 W Oak St Apt 14a, Chicago, IL 60610-8724 | 2018-03-01 |
1598278749 | Elemental Treatment Center Ltd | Psychiatry & Neurology | 612 S Western Ave Apt 1, Chicago, IL 60612-4682 | 2017-11-09 |
1225404551 | Family Renewed, LLC | Psychiatry & Neurology | 1004 Pebble Beach Dr, Caseyville, IL 62232-2834 | 2015-08-21 |
1487032082 | Jerry Francisco Benzl | Psychiatry & Neurology | 1740 Taylor St., Chicago, IL 60612 | 2015-05-14 |
1942697800 | Dr Mo S.c | Psychiatry & Neurology | 2131 W Silverleaf Ln, Addison, IL 60101-6404 | 2015-04-17 |
1104234046 | Hitekshya Nepal | Psychiatry & Neurology | 5230 6th Street Frontage Rd E, Springfield, IL 62703-5128 | 2014-07-23 |
1740558261 | Jyoti Shah | Psychiatry & Neurology | 1335 N Mill St Ste 100, Naperville, IL 60563-2047 | 2011-12-12 |
1083921530 | Jodi Chase | Psychiatry & Neurology | 480 Elm Pl Ste 106, Highland Park, IL 60035-2535 | 2010-09-04 |
Find all providers with the same taxonomy |
City | HOFFMAN ESTATES |
Zip Code | 60169 |
Please comment or provide details below to improve the information on MUSTANSAR RAZA.
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.