Alia Mohammad

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

209032180 Issued in IL

Practice address

2850 W 95TH St Ste 400
Evergreen Park, IL 60805-2755

Phone

(708) 424-7600

NPI assigned

May 12, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3895/brand/1/csg/1/fhir/r4

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.

• Minis Inc

  • Pediatrics Physician
  • Oak Lawn, IL
  • NPI 1386298362
  NPD (past)
• Pediatrics on Demand, Inc.

  • Pediatrics Physician
  • Oak Lawn, IL
  • NPI 1558593053
  NPD (past)

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

{
    "created_epoch": "1747008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1992595821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16765 W ONEIDA DR",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604414244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 W 95TH ST STE 400",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608052755",
            "telephone_number": "708-424-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9930 Southwest Hwy",
            "address_purpose": "LOCATION",
            "city": "Oak Lawn",
            "state": "IL",
            "postal_code": "604533763",
            "country_code": "US",
            "telephone_number": "708-424-0900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAMMAD",
        "first_name": "ALIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-12",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "IL",
            "license": "209032180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mind Over Matter Psychiatric Home Healthcare, Inc.
• Tyler Mitchell, LPC
• Syed A Moeed, M.D.
• Mahmoud Mohamed, MD
• Mohammad a Razzaque MD,LTD
• Nusaibah Mohsin
• Syed Mohsin, M.D.
• Wynnette J. Moneka, M.A.
• Patrick Montag
• Michael John Montesano, DO

• Pediatric Nurse Practitioner in Evergreen Park, IL
• Providers in Evergreen Park, IL by specialty
• Pediatric Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; 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.