Active NPI
Nuwave Providers Inc
- Clinical Medical Laboratory
- Chicago, IL
National Provider Identifier
1326799552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220111001874 | IL | Part B Supplier - Mass Immunization (Roster Biller Only) | 3779975388 | Practice locations: Oakbrook Terrace, IL |
National Provider Directory
National Provider DirectoryLocations
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.