Active NPI
Morteza Mohajer MD
- Neurology Physician
- Chicago, IL
National Provider Identifier
1124385299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 036053496
- Legal business name
- MORTEZA MOHAJER MD
- Practice address
- 938 W Nelson St
First Floor
Chicago, IL 60657-6704 - Phone
- (773) 883-0200
- Fax
- (773) 883-0090
- NPI assigned
- Apr 13, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Morteza Mohajer, M.D.
- Title
- Psychiatrist
- Phone
- (773) 883-0200
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 036053496 | IL | Primary |
Addresses
Primary practice location
938 W Nelson St
First Floor
Chicago, IL 60657-6704
Mailing address
3150 N Lake Shore Dr
Unit 31 B
Chicago, IL 60657-4810
Phone (773) 883-0200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036054276 | Medicaid | IL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Chicago, IL
- NPI 1669429155
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334275200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1334275200000",
"number": "1124385299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3150 N LAKE SHORE DR",
"address_2": "UNIT 31 B",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606574810",
"telephone_number": "773-883-0200",
"fax_number": "773-883-0090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "938 W NELSON ST",
"address_2": "FIRST FLOOR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606576704",
"telephone_number": "773-883-0200",
"fax_number": "773-883-0090"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORTEZA MOHAJER MD",
"organizational_subpart": "NO",
"enumeration_date": "2012-04-13",
"last_updated": "2012-04-13",
"status": "A",
"authorized_official_last_name": "MOHAJER",
"authorized_official_first_name": "MORTEZA",
"authorized_official_title_or_position": "PSYCHIATRIST",
"authorized_official_telephone_number": "773-883-0200",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IL",
"license": "036053496",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036054276",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.