Ata, Mohamad

Ata, Mohamad is an individual health care provider with primary practice located at 1802 S. Mattis , Champaign IL 61821. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Ata, Mohamad can be contacted via phone (217) 383-3311.

Contact Information

Primary practice address
1802 S. Mattis Champaign IL 61821
Phone: (217) 383-3311
Fax: (630) 690-5282
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209017185 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 209017185 Illinois
Nursing Service Providers / Registered Nurse 163W00000X 041398787 Illinois

Profile Details

NPI number 1457698169
LBN Legal business name Ata, Mohamad
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2013
Last updated Sep 4th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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