Nurse Practitioner
MOHAMAD ATA
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1457698169 · enumerated 2013-01-15 · record updated 2025-09-04. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 611 W. PARK ST., FAPC, URBANA, IL, 61801 (217) 902-5291 Google Maps Apple Maps OpenStreetMap
- Practice location 1802 S. MATTIS, CHAMPAIGN, IL, 61821 (217) 383-3311 Fax (630) 690-5282 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner 363L00000X · Primary · License 209017185 IL
- Nurse Practitioner, Psych/Mental Health 363LP0808X · License 209017185 IL
- Registered Nurse 163W00000X · License 041398787 IL
In this directory
Locations and evidence
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Practice location
CHAMPAIGN, IL, 61821
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.