MAHMOUD MIMA


Address: 820 S Wood St, Csn 515, Chicago, IL 60612
Phone: 8473733359

MAHMOUD MIMA (NPI# 1629592639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629592639
Entity Type Individual
Full Name MAHMOUD MIMA
Practice Address 820 S Wood St
Csn 515
Chicago
IL 60612
Mailing Address 5906 N Kenmore Ave Apt B-7
Chicago
IL 60660-5109
Practice Telephone 8473733359
Mailing Telephone 8473733359
Enumeration Date 2017-08-01
Last Update Date 2017-08-01
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 125.069853 IL Allopathic & Osteopathic Physicians

Office Location

Street Address 820 S WOOD ST
CSN 515
City CHICAGO
State IL
Zip Code 60612

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194727909 Mark Allen Grevious Plastic Surgery 820 S Wood St, Suite 515 Csn (mc 958), Chicago, IL 60612-4325 2005-08-11
1093336968 Sofia Sami Student in an Organized Health Care Education/Training Program 820 S Wood St, Chicago, IL 60612-4325 2020-05-02
1023541398 Kumar Siddharth Lal Student in an Organized Health Care Education/Training Program 820 S Wood St, Suite 100 Csn, M/c 675, Chicago, IL 60612-4325 2017-04-04
1437681970 Jerome Martin Emergency Medicine 820 S Wood St, Chicago, IL 60612-4325 2017-04-03
1013370691 Adam Kosloff Student in an Organized Health Care Education/Training Program 820 S Wood St, Mc 675, Chicago, IL 60612-4325 2016-04-01
1295198166 Sanmeet Singh Student in an Organized Health Care Education/Training Program 820 S Wood St, Chicago, IL 60612-4325 2016-03-30
1417310244 Yahia Zaki Almallah Urology 820 S Wood St, Csn Suit 515 M/c 955, Chicago, IL 60612-4325 2016-03-30
1962891606 Alexandra Albanese Family Medicine 820 S Wood St, Suite 100 Csn, Chicago, IL 60612-4325 2015-01-19
1114332012 Board of Trustees of The University of Illinois Health Maintenance Organization 820 S Wood St, Suite W310 - M/c 974, Chicago, IL 60612-4325 2014-06-30
1639511926 Raed Abdulkareem Student in an Organized Health Care Education/Training Program 820 S Wood St, Chicago, IL 60612-4325 2013-07-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144839739 Sandhya Shri Kannayiram Internal Medicine 1901w Harrison Street, Chicago, IL 60612 2020-07-29
1568080174 Nastaran Ordoyo Haghani Rad Student in an Organized Health Care Education/Training Program 1950 W. Polk Street, Room 6203, Chicago, IL 60612 2020-07-09
1669090403 Marianne Gagnon-konamna Student in an Organized Health Care Education/Training Program 1950 West Polk Street, Chicago, IL 60612 2020-07-08
1922625672 Tanya Montgomery Nee Brown Pediatrics 1950 West Polk Street, Neonatal and Perinatal Department, Chicago, IL 60612 2020-06-29
1124643028 Ashley Swan Dentist 801 S. Paulina St, Uic College of Dentistry - Endodontics Clinic, Chicago, IL 60612 2020-06-16
1831711381 Baillie Anne Bronner Obstetrics & Gynecology 1653 W Congress Pkwy Chicago, Il 60612, Chicago, IL 60612 2020-05-07
1154942449 Keisha Davell Cole Case Manager/Care Coordinator 612 S Western Ave Unit 1, Chicago, IL 60612 2020-04-28
1275153777 Isac Lim Student in an Organized Health Care Education/Training Program 1234 S. Wells, Chicago, IL 60612 2020-04-24
1578183414 Zachary Belden Student in an Organized Health Care Education/Training Program Uic Psychiatry Residency 912 S. Wood St., Rm 130b Npi-s (mc 913), Chicago, IL 60612 2020-04-21
1548880560 Christina Nunez Student in an Organized Health Care Education/Training Program 801 S. Paulina Street, M/c 850, Chicago, IL 60612 2020-04-20
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699236612 Behdod Katebian Urology 5841 S Maryland Ave Rm J-653, Chicago, IL 60637-1443 2019-03-31
1134657026 Soojin Kim Urology 225 E. Chicago Avenue, Box 24, Ann and Robert H. Lurie Children's Hospital of Chicago, Chicago, IL 60611 2017-05-23
1790164002 Shay Golan Urology 5841 S Maryland Ave Mc6038, Chicago, IL 60637-1447 2015-05-20
1528453594 Christopher Stockdale Urology 300 W Hill St Apt 707, Chicago, IL 60610-7537 2015-04-06
1639568447 Jeremy Lai Urology 420 E Superior St Ste 9-900, Chicago, IL 60611-4494 2015-01-16
1174933048 Kyle John Ericson Urology 924 E 57th St, Suite 104, Chicago, IL 60637-1455 2014-05-01
1467878314 Oluwarotimi Sewedo Nettey Urology 1524 S. Sangamon Street, Unit 403, Chicago, IL 60608 2014-03-14
1881957405 Ricardo R Rios Urology 5600 W Addison St Ste 305, Chicago, IL 60634-4468 2012-06-19
1972863124 James Wren Urology 675 N Saint Clair St Fl 20, Chicago, IL 60611 2012-05-22
1780940023 Ryan Patrick Werntz Urology 5841 S Maryland Ave # 6038, Chicago, IL 60637-1447 2012-04-11
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Competitor

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City CHICAGO
Zip Code 60612

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Dataset Information

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.

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