DR. MUJAHIDA BARAM (NPI# 1407018336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407018336 |
| Entity Type | Individual |
| Full Name | DR. MUJAHIDA BARAM |
| Credential | MD |
| Practice Address |
25 N Winfield Rd Winfield IL 60190-1222 |
| Mailing Address |
1 Childrens Pl Nwt 8328 Cb 8116 Saint Louis MO 63110-1002 |
| Practice Telephone | 6309331600 |
| Mailing Telephone | 3144542076 |
| Mailing Fax Number | 3147478953 |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2020-04-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 2011022923 | MO | Allopathic & Osteopathic Physicians |
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
2011022923 | MO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 225 E Chicago Ave, Chicago, IL 606112991 | 3122274000 |
| Street Address |
25 N WINFIELD RD |
| City | WINFIELD |
| State | IL |
| Zip Code | 60190-1222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861499899 | Teresa Smith | Nurse Practitioner | 25 N Winfield Rd, Winfield, IL 60190-1222 | 2005-07-05 |
| 1396358412 | Stephanie Bryan | Nurse Practitioner | 25 N Winfield Rd, Winfield, IL 60190-1379 | 2020-08-28 |
| 1629602560 | Amanda Berndt | Nurse Practitioner | 25 N Winfield Rd, Winfield, IL 60190-1222 | 2020-03-01 |
| 1003454943 | Joelle Marie Tolentino | Registered Nurse | 25 N Winfield Rd, Winfield, IL 60190-1222 | 2019-12-10 |
| 1073157582 | Haley Young | Physician Assistant | 25 N Winfield Rd, Winfield, IL 60190-1222 | 2019-10-29 |
| 1316406440 | Lisa Wehbe | Nurse Practitioner | 25 N Winfield Rd, Winfield, IL 60190-1222 | 2019-03-18 |
| 1821562281 | Julianne Reinbold | Speech-Language Pathologist | 25 N Winfield Rd, Winfield, IL 60190-1222 | 2019-01-17 |
| 1023591054 | Ekchhanak Leaders Rosenkranz | Physician Assistant | 25 N Winfield Rd, Winfield, IL 60190-1222 | 2018-09-14 |
| 1376038166 | Brittany Wienkes | Nurse Practitioner | 25 N Winfield Rd, Winfield, IL 60190-1222 | 2018-06-25 |
| 1841789583 | Sheela Bhayani | Physician Assistant | 25 N Winfield Rd, Winfield, IL 60190 | 2018-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316592256 | Kelly Marie Jung | Nurse Practitioner | 25 N Winfield Rd Ste 500, Winfield, IL 60190 | 2019-08-07 |
| 1003379660 | Genevieve Goro | Speech-Language Pathologist | In220 Pleasant Hill Rd, Winfield, IL 60190 | 2019-04-10 |
| 1730670175 | Brian J Fischer | Physical Therapist | 26w228 Geneva Road, Winfield, IL 60190 | 2018-05-22 |
| 1730625500 | Johnson Medical Services S.c. | Family Medicine | 27 W 132 Barnes Ave/, Winfield, IL 60190 | 2017-01-17 |
| 1992253843 | Dr. Roy Settergren S.c. | Chiropractor | 27w123 Redbud Lane, Winfield, IL 60190 | 2016-09-20 |
| 1952855223 | Terri Hannemann | Nurse Practitioner | 25 North Winfield Road, Central Dupage Hospital, Winfield, IL 60190 | 2016-08-04 |
| 1154730737 | Cynthia Koeppen | Registered Nurse | 27w281 Winfield Rd, Winfield, IL 60190 | 2014-08-07 |
| 1992117634 | Jonathan Wang | Internal Medicine | 25 N Winfield Rd Ste 202, Winfield, IL 60190 | 2014-05-29 |
| 1689005977 | Erin Sands | Physician Assistant | 25 N Winfield Rd Ste 519, Winfield, IL 60190 | 2013-12-11 |
| 1790120285 | Clarity Health & Wellness | Social Worker | 1 N. 121 County Farm Road, Suite 220, Winfield, IL 60190 | 2013-05-09 |
| Find all providers in zip 60190 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255725164 | Princy Pathalil George | Pediatrics | 5730 S. Drexel Avenue, Mc 8029, Chicago, IL 60637 | 2015-03-28 |
| 1588002661 | Justin D Triemstra | Pediatrics | 180 N Harvester Drive, Suite 110, Burr Ridge, IL 60527 | 2013-06-11 |
| 1427391515 | Sriram Ramgopal | Pediatrics | 255 E Chicago Ave, Chicago, IL 60611-2605 | 2013-03-27 |
| 1720138779 | Alison S Tothy | Pediatrics | 5841 South Maryland Ave. 0810, Dept. of Pediatrics; Section of Pediatric Emergency Med, Chicago, IL 60637-1407 | 2007-01-11 |
| 1982710133 | Nazir Ahmad | Pediatrics | 1535 W Mccord St, Centralia, IL 62801 | 2006-08-21 |
| 1205890613 | Susan Miriam Fuchs | Pediatrics | 225 E Chicago Ave # 62, Chicago, IL 60611 | 2006-04-13 |
| 1508307752 | Destiny Deshawn Wilson | Pediatrics | 225 E Chicago Ave, Chicago, IL 60611-2991 | 2017-03-20 |
| 1407240914 | Amy Z. Zhou | Pediatrics | 225 E Chicago Ave, Chicago, IL 60611 | 2015-03-23 |
| 1164860557 | Anisha Kshetrapal | Pediatrics | 225 E Chicago Ave, Chicago, IL 60611 | 2013-06-07 |
| 1740625052 | Nina Mbadiwe | Pediatrics | 4440 W 95th St, Oak Lawn, IL 60453-2600 | 2013-05-01 |
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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.