Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MUTASEM MOUSSA, MA
Active Sole ProprietorMUTASEM MOUSSA, MA is a Contractor healthcare provider located in CHICAGO RIDGE, Illinois. NPI 1568038800 is currently active in the NPPES registry. Verify at CMS.
Contractor · CHICAGO RIDGE, IL
Registration Details
- NPI Number
- 1568038800
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 27, 2021 (5.2355674569094 yrs)
- Last Updated
- May 27, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
9830 RIDGELAND AVE STE 9ACHICAGO RIDGE, IL, 604152668Browse IL providers · Browse ZIP 60415
- Phone
- 7086426457
- Primary Specialty
-
Contractor
171W00000X
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.