MUTASEM MOUSSA MA
NPI 1568038800
Contractor in Chicago Ridge, IL

Active since May 27, 2021
9830 RIDGELAND AVE STE 9A, CHICAGO RIDGE, IL 60415(708) 642-6457 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Contractor

About MUTASEM MOUSSA

This page provides the complete NPI Profile along with additional information for Mutasem Moussa, a provider established in Chicago Ridge, Illinois with a medical specialization in Contractor. The healthcare provider is registered in the NPI registry with number 1568038800 assigned on May 2021. The practitioner's primary taxonomy code is 171W00000X. The provider is registered as an individual and his NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.

NPI
1568038800 Verify this NPI
Provider Name
MUTASEM MOUSSA MA
Gender
Male
Entity Type
Individual
Location Address
9830 RIDGELAND AVE STE 9A CHICAGO RIDGE, IL 60415
Location Phone
(708) 642-6457
Mailing Address
9830 RIDGELAND AVE CHICAGO RIDGE, IL 60415
Mailing Phone
(708) 642-6457
Is Sole Proprietor?
Yes
Enumeration Date
05-27-2021
Last Update Date
05-27-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Contractor

Taxonomy Code
171W00000X
Type
Other Service Providers
Taxonomy Description
For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no relation to a provider's employment status.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Family Medicine
9830 RIDGELAND AVE STE 9A
CHICAGO RIDGE, IL 60415
Family Medicine
9830 RIDGELAND AVE STE 9A
CHICAGO RIDGE, IL 60415

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568038800, enumerated as an "individual" on May 27, 2021.

The provider is located at 9830 RIDGELAND AVE STE 9A CHICAGO RIDGE, IL 60415 and the phone number is (708) 642-6457.

Contractor with taxonomy code 171W00000X.