Mohammed B Ghabra MD Comprehensive Clinical Neurology SC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

036090016 Issued in IL

Legal business name

MOHAMMED B GHABRA MD COMPREHENSIVE CLINICAL NEUROLOGY SC

Practice address

8 Health Services Dr
Dekalb, IL 60115-9647

Phone

(815) 756-8554

NPI assigned

Dec 18, 2006

Last updated

Sep 17, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mohammed B Ghabra, MD

Title

Owner MD

Phone

(815) 756-8554

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1528121969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 967",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604770967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 HEALTH SERVICES DR",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601159647",
            "telephone_number": "815-756-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAMMED B GHABRA MD COMPREHENSIVE CLINICAL NEUROLOGY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "GHABRA",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER MD",
        "authorized_official_telephone_number": "815-756-8554",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IL",
            "license": "036090016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036090016",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Sara Milde
• Michelle Elizabeth Miller, M.S., L.C.P.C.
• Carolyn N Mills, MD
• Mind and Body Chiropractic Inc
• Kaneysha Minder
• Rehan Mohammed, M.D.
• Neil Karan Mohindra, MD
• Kari A. Moll, LPC
• Daniel Monaghan, D.C.
• Mondi & Associates Inc. (Home Instead)

• Neurology Physician in Dekalb, IL
• Providers in Dekalb, IL by specialty
• Neurology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.