DR. MUMTAZ RAZA (NPI# 1427083294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427083294 |
| Entity Type | Individual |
| Full Name | DR. MUMTAZ RAZA |
| Other Name | DR. MUMTAZ FATIMA |
| Credential | MD |
| Practice Address |
1786 Moon Lake Blvd Suite 104 Hoffman Estates IL 60194-5029 |
| Practice Telephone | 8477558090 |
| Practice Fax Number | 8478437393 |
| Mailing Telephone | 8477558090 |
| Mailing Fax Number | 8478437393 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
1786 MOON LAKE BLVD SUITE 104 |
| City | HOFFMAN ESTATES |
| State | IL |
| Zip Code | 60194-5029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588661961 | Debra Danielson | Midwife | 1786 Moon Lake Blvd, Suite 207, Hoffman Estates, IL 60169-1067 | 2005-06-30 |
| 1053875567 | Lauren Bantner | Counselor | 1786 Moon Lake Blvd, Hoffman Estates, IL 60169-5029 | 2019-01-29 |
| 1144761040 | Lacey Lemke | Psychologist | 1786 Moon Lake Blvd, Suite 104, Hoffman Estates, IL 60169-5029 | 2017-03-13 |
| 1801341466 | Bubbles Pediatrics, LLC | Pediatrics | 1786 Moon Lake Blvd, Suite 206, Hoffman Estates, IL 60169-5029 | 2016-08-23 |
| 1548613318 | Christopher Zapata | Counselor | 1786 Moon Lake Blvd, Suite 104, Hoffman Estates, IL 60169-5029 | 2016-07-18 |
| 1528433786 | Sean S Mcgrew | Social Worker | 1786 Moon Lake Blvd, Suite 104, Hoffman Estates, IL 60169-5029 | 2015-12-14 |
| 1598136475 | Megan Deligio | Counselor | 1786 Moon Lake Blvd, Suite 104, Hoffman Estates, IL 60169-5029 | 2015-10-16 |
| 1205207925 | Huong Iodice | Nurse Practitioner | 1786 Moon Lake Blvd, Suite 104, Hoffman Estates, IL 60169-5029 | 2015-10-08 |
| 1336534791 | Denise Kitsos Druck | Registered Nurse | 1786 Moon Lake Blvd, Suite 104, Hoffman Estates, IL 60169-5029 | 2015-04-02 |
| 1841698263 | Gregory Eakle | Licensed Vocational Nurse | 1786 Moon Lake Blvd, Suite 104, Hoffman Estates, IL 60169-5029 | 2014-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427664812 | Alesandra Doughty | Physical Therapist | Schaumburg School District, 524 E Schaumburg Rd, Schaumburg, IL 60194 | 2020-09-21 |
| 1528538600 | Vital Signs Wellness, LLC | Case Management | 744 Leslie Lane, Schaumburg, IL 60194 | 2018-11-30 |
| 1356866958 | Integral Medical & Rehabilitation, S.c | Chiropractor | 399 Glen Byrn Ct, Schaumburg, IL 60194 | 2017-08-04 |
| 1508389883 | Andria Burris | Speech-Language Pathologist | 55 E Schaumburg Rd, Schaumburg, IL 60194 | 2017-07-19 |
| 1598286510 | S&t Medical Group Ltd | Clinic/Center | 1375 E Schaumburg Rd #120, Schaumburd, IL 60194 | 2017-06-29 |
| 1629525126 | Tracy Haut | Dental Hygienist | 131 Bright Ridge Dr, Schaumburg, IL 60194 | 2016-09-01 |
| 1447655733 | Isabell Ciszewski | Counselor | 118 Cumberland Dr, Schaumburg, IL 60194 | 2014-10-29 |
| 1902246317 | Ketty Esther Cruz | Behavioral Analyst | 1901 Finchley Ct, Schaumburg, IL 60194 | 2013-06-29 |
| 1184978983 | For Eyes Optical | Eyewear Supplier (Equipment, not the service) | 2606 W Schaumburg Road, Schaumburg, IL 60194 | 2012-10-31 |
| 1396075206 | Scharrington Dental PC | Dentist | 2505 W. Schaumburg Rd., Schaumburg, IL 60194 | 2009-12-29 |
| Find all providers in zip 60194 | ||||
| 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] |
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| 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 | 60194 |
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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.