Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MUHAMMAD OMER MUMTAZ ANSARI, M.D.
ActiveDR. MUHAMMAD OMER MUMTAZ ANSARI, M.D. is a Family Medicine healthcare provider located in BOLINGBROOK, Illinois. NPI 1770787673 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · BOLINGBROOK, IL
Registration Details
- NPI Number
- 1770787673
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 13, 2007 (19.169873256202 yrs)
- Last Updated
- Nov 18, 2023
- Licenses
-
036-126472 (IL)01068102A (IN)
Practice Information
- Address
-
396 REMINGTON BLVD STE 380BOLINGBROOK, IL, 604404315Browse IL providers · Browse ZIP 60440
- Phone
- 2422734000
- Fax
- 2242734027
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in BOLINGBROOK, IL
| Name | Credential | NPI |
|---|---|---|
| TAYFUN M OZGEN | MD | 1780671818 |
| MRS. SANDRA A MAZUR | NP | 1588651509 |
| DR. ANTONIO PAOLO CARLINO | D.O. | 1851354187 |
| DR. CHRISTINE SHIH | MD | 1619925021 |
| DR. GERALD LOFTHOUSE | M.D. | 1972551513 |
| DR. GEOFFREY KUHLMAN | MD | 1902856925 |
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.