MUBASHIR AHMED (NPI# 1366466377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366466377 |
| Entity Type | Individual |
| Full Name | MUBASHIR AHMED |
| Credential | M.D. |
| Practice Address |
10400 Haligus Rd Huntley IL 60142 |
| Mailing Address |
4309 W Medical Center Dr Ste A200 Mchenry IL 60050-8437 |
| Practice Telephone | 2246540000 |
| Mailing Telephone | 8157598070 |
| Mailing Fax Number | 8157594931 |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2018-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 44847-020 | WI | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
036-106610 | IL | Allopathic & Osteopathic Physicians |
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
036106610 | IL | Allopathic & Osteopathic Physicians |
| N | 207RA0001X |
Internal Medicine Specialization: Advanced Heart Failure and Transplant Cardiology |
036106610 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34276500 | 05 | |
| IL | STATE LICENSE | 036106610 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1340 Charles St, Suite 300, Rockford, IL 611042200 | 7796965888 | |
| 10400 Haligus Rd, Huntley, IL 60142 | 2246540000 | |
| 10370 Haligus Rd Ste 200, Huntley, IL 601429582 | 8157598070 | 8157594931 |
| 360 Station Dr Fl 3, Crystal Lake, IL 600147978 | 8157598070 | 8157594931 |
| Street Address |
10400 HALIGUS RD |
| City | HUNTLEY |
| State | IL |
| Zip Code | 60142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447221767 | Hetal B Patel | Emergency Medicine | 10400 Haligus Rd, Huntley, IL 60142-9553 | 2006-01-27 |
| 1174123798 | Kenneth Rowe | Pharmacist | 10400 Haligus Rd, Huntley, IL 60142-9553 | 2020-11-01 |
| 1497302657 | Kristen M Zdany | Hospitalist | 10400 Haligus Rd, Huntley, IL 60142-9553 | 2019-08-22 |
| 1558913525 | Shelby Voss | Dietitian, Registered | 10400 Haligus Rd, Huntley, IL 60142-9553 | 2019-07-10 |
| 1013472455 | Shay L Ward | Nurse Practitioner | 10400 Haligus Rd, Huntley, IL 60142-9553 | 2019-02-08 |
| 1881125631 | Stephanie L Wagner | Dietitian, Registered | 10400 Haligus Rd, Huntley, IL 60142-9553 | 2017-03-23 |
| 1790231710 | Questcare Obstetrics of Illinois, LLC | Obstetrics & Gynecology | 10400 Haligus Rd, Huntley, IL 60142-9553 | 2016-08-30 |
| 1639526320 | Christopher Ring | Emergency Medicine | 10400 Haligus Rd, Huntley, IL 60142-9553 | 2016-05-23 |
| 1578958187 | Megan Carey | Dietitian, Registered | 10400 Haligus Rd, Huntley, IL 60142-9553 | 2015-03-31 |
| 1598016768 | Amanda Rachel Seeber | Physician Assistant | 10400 Haligus Rd, Huntley, IL 60142-9553 | 2012-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164022901 | American Drug Stores LLC | Durable Medical Equipment & Medical Supplies | 10090 Route 47, Huntley, IL 60142 | 2020-10-30 |
| 1881201895 | Activefit Physical Therapy and Personal Training | Physical Therapist | 12172 S. Route 47, #125, Huntley, IL 60142 | 2020-09-24 |
| 1710512801 | Shoptikal LLC | Eyewear Supplier (Equipment, not the service) | 9940 Rt 47, Huntley, IL 60142 | 2020-03-09 |
| 1427689744 | Gilberts Evolve LLC | Chiropractor | 9738 Illinois Hwy 47, Huntley, IL 60142 | 2020-01-27 |
| 1790332898 | Mary Casper | Technician | 12829 Mesa St, Huntley, IL 60142 | 2019-08-22 |
| 1437719838 | Faith A Furst | Student in an Organized Health Care Education/Training Program | 12300 Il-47, Huntley, IL 60142 | 2019-06-18 |
| 1578046934 | Shelby Osterberg | Physical Therapist | 12112 S Rt 47, Huntley, IL 60142 | 2018-09-12 |
| 1801378229 | Emilyn Pollack | Nurse Practitioner | 9850 Grimley, Huntley, IL 60142 | 2018-09-01 |
| 1215452537 | Jennifer Amanda Baudin | Occupational Therapy Assistant | 10580 Oakland Ct, Huntley, IL 60142 | 2017-08-08 |
| 1902336555 | Tyler J Wylde | Dentist | 12222 Il-47, Huntley, IL 60142 | 2017-06-15 |
| Find all providers in zip 60142 | ||||
| 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 |
|---|---|---|---|---|
| 1063641181 | Asim R Zaidi | Internal Medicine | 11650 S Il Route 47, Huntley, IL 60142 | 2009-07-10 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.