Mutasem Ali Ahmad, is a
Pharmacist based in Braidwood, Illinois. Mutasem Ali Ahmad is licensed to practice in Illinois (license number 051308773) and his current practice location is
230 S Comet Dr, Braidwood, Illinois. He can be reached at his office (for appointments etc.) via phone at
(815) 458-0642.
NPI number for Mutasem Ali Ahmad is 1194644526 and his current mailing address is 7400 W 58th St, Summit, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194644526.
Healthcare Provider's Profile
| Full Name | Mutasem Ali Ahmad |
|---|
| Gender | Male |
|---|
| Speciality | Pharmacist |
|---|
| Location | 230 S Comet Dr, Braidwood, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194644526
- Provider Enumeration Date: 07/10/2026
- Last Update Date: 07/10/2026
Medical Identifiers
Medical identifiers for Mutasem Ali Ahmad such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1194644526 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 183500000X | Pharmacist | 051308773 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mutasem Ali Ahmad is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mutasem Ali Ahmad, 7400 W 58th St, Summit, IL 60501-1350 Ph: (708) 712-6203 | Mutasem Ali Ahmad, 230 S Comet Dr, Braidwood, IL 60408-2028 Ph: (815) 458-0642 |
Reviews and Comments