MOHAMAD ATA

CARLE HEALTH CARE INCORPORATED

Dr MOHAMAD ATA is a male medical professional, specializing in Nurse Practitioner. He graduated in 2017 from Rush Medical College Of Rush University.

Contact

CARLE HEALTH CARE INCORPORATED

611 W PARK ST
URBANA
IL
618012500

Tel: 8887122753

MOHAMAD ATA Information

Npi 1457698169
Pac Id 0143583484
Professional Enrollment Id I20180418002634
Last Name ATA
First Name MOHAMAD
Middle Name
Suffix
Gender M
Credential
Medical School Name RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduation Year 2017
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name CARLE HEALTH CARE INCORPORATED
Group Practice Pac Id 3577515774
Number Of Group Practice Members 710
Line 1 Street Address 611 W PARK ST
Line 2 Street Address
Marker Of Address Line 2 Suppression
City URBANA
State IL
Zip Code 618012500
Phone Number 8887122753
Hospital Affiliation Ccn 1 140091
Hospital Affiliation Lbn 1 THE CARLE FOUNDATION HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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