DR. KAMAL MODIR (NPI# 1568447795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568447795 |
| Entity Type | Individual |
| Full Name | DR. KAMAL MODIR |
| Credential | MD |
| Practice Address |
1601 Parkview Ave University Psychiatric Services Rockford IL 61107-1822 |
| Mailing Address |
1601 Parkview Ave Credentialing S200 Rockford IL 61107-1822 |
| Practice Telephone | 8153955870 |
| Practice Fax Number | 8153955644 |
| Mailing Telephone | 8153955851 |
| Mailing Fax Number | 8153955644 |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2007-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
1601 PARKVIEW AVE UNIVERSITY PSYCHIATRIC SERVICES |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107-1822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801886890 | Christine Krause | Nurse Practitioner | 1601 Parkview Ave, Asthma & Allergy, Rockford, IL 61107-1822 | 2005-10-21 |
| 1528687324 | Daniel Corredor | Student in an Organized Health Care Education/Training Program | 1601 Parkview Ave, Rockford, IL 61107-1822 | 2020-04-11 |
| 1487280400 | Armin Tadayyon | Student in an Organized Health Care Education/Training Program | 1601 Parkview Ave, Rockford, IL 61107-1822 | 2020-03-21 |
| 1386278885 | Angela Ray | Student in an Organized Health Care Education/Training Program | 1601 Parkview Ave, Rockford, IL 61107-1822 | 2020-02-24 |
| 1003218348 | Board of Trustees of The University of Illinois | Social Worker | 1601 Parkview Ave, Rockford, IL 61107-1822 | 2014-09-18 |
| 1518221340 | Christopher Arnold Schriever | Pharmacist | 1601 Parkview Ave, University of Illinois College of Pharmacy, Rockford, IL 61107-1822 | 2012-06-26 |
| 1609007699 | Alesia Oscea Hawkins-jones | Psychologist | 1601 Parkview Ave, Rockford, IL 61107 | 2009-08-07 |
| 1013102771 | Farah Naz Pathan | Specialist | 1601 Parkview Ave, Rockford, IL 61107-1822 | 2007-09-06 |
| 1063507408 | Noel M Pycior | Nurse Practitioner | 1601 Parkview Ave, Rockford, IL 61107-1822 | 2006-10-03 |
| 1255431508 | Willam D Barnhart | Specialist | 1601 Parkview Ave, Rockford, IL 61107-1822 | 2006-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952139 | Jessica Marie Tamayo Fernandez | Pharmacist | 1145 Alpine Rd, Rockford, IL 61107 | 2020-08-13 |
| 1467092379 | Unknown Safa Fatima | Student in an Organized Health Care Education/Training Program | Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 | 2020-01-08 |
| 1194367912 | Matt J Kriebs | Nurse Practitioner | 1235 N Mulford Rd Suite 103, Rockford, IL 61107 | 2019-10-14 |
| 1265962336 | Mary Golembeck | Nurse Practitioner | 7290 Argus Dr, Rockford, IL 61107 | 2017-06-12 |
| 1831644749 | Tessa Lee | Occupational Therapist | 3422 Lauderdale Ln, Rockford, IL 61107 | 2016-08-20 |
| 1942626965 | Elevated Health Essentials, LLC | Chiropractor | 124 N Water St Ste 204e, Rockford, IL 61107 | 2014-03-14 |
| 1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
| 1346676582 | Christopher Anthony Ziganto | Pharmacist | 494 Bienterra Trail #2, Rockford, IL 61107 | 2013-09-19 |
| 1023358272 | Lavanya Durairajan | Physical Therapist | 7358 Shiligton Dr, Rockford, IL 61107 | 2013-02-26 |
| 1851523146 | Great Smiles of Rockford | Durable Medical Equipment & Medical Supplies | 780 N. Mulfrord Road, Rockford, IL 61107 | 2009-08-20 |
| Find all providers in zip 61107 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386110708 | Jamie Therse Brewer | Psychiatry & Neurology | 1401 E State St Fl 4, Rockford, IL 61104-2315 | 2018-10-24 |
| 1447608492 | Jessica Stier | Psychiatry & Neurology | 1643 N Alpine Rd Ste 104-528, Rockford, IL 61107-1462 | 2016-06-01 |
| 1871907774 | Oday Alsarraf | Psychiatry & Neurology | 1401 E State Street, Center for Mental Health, Swedish American Hospital, Rockford, IL 61104 | 2014-06-18 |
| 1487072922 | Alecia Greenlee | Psychiatry & Neurology | Rosecrance Community Mental Health, 3815 Harrison Avenue, Rockford, IL 61108 | 2014-04-02 |
| 1689966756 | Gerald Keith Hoffman | Psychiatry & Neurology | 5906 Elaine Drive, Rockford, IL 61108-2467 | 2011-05-09 |
| 1740471317 | David Allen Wight | Psychiatry & Neurology | 7019 Rote Rd Ste 105, Rockford, IL 61107-2611 | 2007-08-07 |
| 1366641714 | Khatija Mohammad Vaid | Psychiatry & Neurology | 4960 E State St, Rockford, IL 61108-2268 | 2007-07-16 |
| 1639230303 | Susan Feder Slobard | Psychiatry & Neurology | 1021 N Mulford Rd, Ste 1, Rockford, IL 61107-3877 | 2006-12-13 |
| 1730257056 | Zaffar A Rizvi | Psychiatry & Neurology | 6078 Palo Verde Drive, Rockford, IL 61114 | 2006-12-04 |
| 1063504744 | Delsie Bella Gavali | Psychiatry & Neurology | 526 W State Street, Rockford, IL 61101-1214 | 2006-09-29 |
| Find all providers in ROCKFORD | ||||
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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.