Search › Illinois › 363L00000X
Mohamad Ata
NPI 1457698169 · on the registry since 2013
Practice
- Address
- 1802 S. Mattis
Champaign, IL 61821 - Phone
- (217) 383-3311
- Fax
- (630) 690-5282
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- Psychiatric/Mental Health Nurse Practitioner
163W00000X - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-09-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois