Organization Active NPI

Nuwave Providers Inc

  • Clinical Medical Laboratory
  • Chicago, IL
National Provider Identifier
1326799552
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
NUWAVE PROVIDERS INC
Doing business as
NPI
Practice address
6308 N Rockwell St Apt 2
Chicago, IL 60659-0220
Phone
(872) 310-9837
NPI assigned
Jan 10, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Faizan Mohammed
Title
President
Phone
(872) 310-9837

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

6308 N Rockwell St Apt 2
Chicago, IL 60659-0220

Mailing address

6308 N Rockwell St Apt 2
Chicago, IL 60659-0220
Phone (872) 310-9837

Other names 1

  • NPI Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220111001874 IL Part B Supplier - Mass Immunization (Roster Biller Only) 3779975388 Practice locations: Oakbrook Terrace, IL

National Provider Directory

National Provider Directory

Locations

917 S Oak Park Ave
Ste A
Oak Park, IL 60304
Phone (708) 407-1080

1 Transam Plaza Dr
Ste 10
Oakbrook Terrace, IL 60181
Phone (630) 827-2500

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1641772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1326799552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6308 N ROCKWELL ST APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606590220",
            "telephone_number": "872-310-9837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6308 N ROCKWELL ST APT 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606590220",
            "telephone_number": "872-310-9837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUWAVE PROVIDERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-10",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "FAIZAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "872-310-9837"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NPI",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NPI",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.