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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

MUTASEM ALI AHMAD
NPI 1194644526
Pharmacist in Braidwood, IL

Active since July 10, 2026
230 S COMET DR, BRAIDWOOD, IL 60408(815) 458-0642 Get Directions Write a Review

NPPES record added: July 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mutasem Ali Ahmad NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MUTASEM ALI AHMAD (NPI 1194644526) is an individual pharmacist in Braidwood, Illinois, licensed in Illinois (051308773) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1194644526
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameMUTASEM ALI AHMAD
Location Address230 S COMET DRBraidwood, IL 60408-2028
Mailing Address7400 W 58th StSummit, IL 60501-1350 · (708) 712-6203
Phone(815) 458-0642
Sole ProprietorYes
Enumeration DateJuly 10, 2026
NPPES CertifiedJuly 10, 2026
✔ NPI 1194644526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in IL · 051308773
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
230 S COMET DR, Braidwood, IL 60408
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CHRISTY ENZ
Pharmacist
230 S COMET DR
BRAIDWOOD, IL 60408
Will County (815) 458-0642

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mutasem Ahmad's NPI number?

The NPI number for Mutasem Ahmad is 1194644526. It was assigned to this individual provider in the NPPES registry on July 10, 2026.

Where is Mutasem Ahmad located?

Mutasem Ahmad practices at 230 S Comet Dr, Braidwood, IL 60408. The listed phone number is (815) 458-0642.

What is Mutasem Ahmad's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Mutasem Ahmad was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.