Mohamed Zaeem Mohamed Thahir

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

238000768 Issued in IL

Practice address

315D Woodcreek Dr Apt 211
Bolingbrook, IL 60440-3329

Phone

(847) 722-3559

NPI assigned

Dec 19, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Royal First Assistants,Inc.

  • Surgical Technologist
  • Long Grove, IL
  • NPI 1255452157
  NPD (past)

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1982316279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4832",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600894832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315D WOODCREEK DR APT 211",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604403329",
            "telephone_number": "847-722-3559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED THAHIR",
        "first_name": "MOHAMED ZAEEM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-19",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "IL",
            "license": "238000768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "email",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "315D Woodcreek Dr Apt 211",
            "city": "Bolingbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604403329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "email",
            "affiliation": "N",
            "address_1": "315D Woodcreek Dr Apt 211",
            "city": "Bolingbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604403329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "email",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "315D Woodcreek Dr Apt 211",
            "city": "Bolingbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604403329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "email",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "315D Woodcreek Dr Apt 211",
            "city": "Bolingbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604403329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tricia L Mitchell, DPT, MPT
• Roopali Mittal, DDS
• Stephen Mizera, PA-C
• MLB Dental, LTD.
• Sheik Shafiudeen Mohamed Meerasahib, SURGICAL ASSISTANT
• Miriam De Ocampo Mohammad, RN
• Mushtaq Hussain Mohammed, M.D.
• Ali Maqsood Mohiuddin, M.D.
• Molecular Imaging of Bolingbrook Pet, LLC
• Molecular Imaging of Bolingbrook, LLC

• Surgical Assistant in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Surgical Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; 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.