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1306446836 NPI number — AMIR WAEL RAAD DNP, PMHNP-BC, RN

NPI Number: 1306446836
Health Care Provider/Practitioner: AMIR WAEL RAAD DNP, PMHNP-BC, RN

Information about “1306446836” NPI (AMIR WAEL RAAD DNP, PMHNP-BC, RN) exists in 1306446836 in HTML format HTML  |  1306446836 in plain Text format TXT  |  1306446836 in PDF (Portable Document Format) PDF  |  1306446836 in an XML format XML  formats.

NPI Number : 1306446836 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1306446836",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RAAD",
    "FirstName": "AMIR",
    "MiddleName": "WAEL",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DNP, PMHNP-BC, RN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "RAAD",
    "OtherFirstName": "AMIR",
    "OtherMiddleName": "WAEL",
    "OtherNamePrefix": "DR.",
    "OtherNameSuffix": null,
    "OtherCredential": "DNP, PMHNP-BC, RN",
    "OtherLastNameTypeCode": "2",
    "FirstLineMailingAddress": "PO BOX 713260",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60677-1260",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "630-469-9200",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5207 MAIN ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "DOWNERS GROVE",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60515-4652",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "815-942-6323",
    "PracticeLocationAddressFaxNumber": "779-210-5541",
    "EnumerationDate": "10/26/2020",
    "LastUpdateDate": "09/18/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "RN67253",
          "LicenseNumberStateCode": "ME",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
          "LicenseNumber": "277.002856",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "Y"
        },
        {
          "TaxonomyCode": "163W00000X",
          "TaxonomyName": "Registered Nurse",
          "LicenseNumber": "041499940",
          "LicenseNumberStateCode": "IL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
          "LicenseNumber": "CNP231232",
          "LicenseNumberStateCode": "ME",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
          "LicenseNumber": "APRN.CNP.0043023",
          "LicenseNumberStateCode": "OH",
          "PrimaryTaxonomySwitch": "N"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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