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: August 30, 2026.

About Mutasem Moussa Ma NPPES

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

MUTASEM MOUSSA MA (NPI 1568038800) is an individual contractor provider in Chicago Ridge, Illinois and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1568038800
Entity TypeIndividualMale
Primary Taxonomy171W00000X
Provider Legal NameMUTASEM MOUSSACredential: MA
Location Address9830 RIDGELAND AVE STE 9AChicago Ridge, IL 60415-2668
Mailing Address9830 Ridgeland AveChicago Ridge, IL 60415-2667 · (708) 642-6457
Sole ProprietorYes
Enumeration DateMay 27, 2021
NPPES CertifiedMay 27, 2021
NPI 1568038800 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyContractorOther Service Providers
Taxonomy Code171W00000X
Definition
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.
9830 RIDGELAND AVE STE 9A, Chicago Ridge, IL 60415

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 2

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

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 NPPES & CMS

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

What is Mutasem Moussa's NPI number?

The NPI number for Mutasem Moussa is 1568038800. It was assigned to this individual provider in the NPPES registry on May 27, 2021.

Where is Mutasem Moussa located?

Mutasem Moussa practices at 9830 Ridgeland Ave Ste 9A, Chicago Ridge, IL 60415. The listed phone number is (708) 642-6457.

What is Mutasem Moussa's specialty?

The primary specialty registered for this NPI is Contractor with taxonomy code 171W00000X.

When was this NPI record last updated?

The NPPES record for Mutasem Moussa was last updated on May 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.