Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MOHAMAD ATA
ActiveMOHAMAD ATA is a Nurse Practitioner healthcare provider located in CHAMPAIGN, Illinois. NPI 1457698169 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · CHAMPAIGN, IL
Registration Details
- NPI Number
- 1457698169
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 15, 2013 (13.535415895524 yrs)
- Last Updated
- Sep 4, 2025
- Licenses
-
209017185 (IL)209017185 (IL)041398787 (IL)
Practice Information
- Address
-
1802 S. MATTISCHAMPAIGN, IL, 61821Browse IL providers · Browse ZIP 61821
- Phone
- 2173833311
- Fax
- 6306905282
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
- Additional Specialty
- Registered Nurse
Other Nurse Practitioner Providers in CHAMPAIGN, IL
| Name | Credential | NPI |
|---|---|---|
| MARY STECH | NP | 1902849789 |
| MA R DIFANIS | NP | 1851337109 |
| MS. THERESA E. HARDY | A.N.P.,IBCLC | 1144237389 |
| CHERYL MANGERS | — | 1407862162 |
| MS. KATHRYN J. GETTY | — | 1932116159 |
| VIRGINIA HINEGARDNER | CNP | 1215944459 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.