Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mutasem Ali Ahmad

Individual provider Pharmacist · NPI 1194644526

Mutasem Ali Ahmad is a Pharmacist in Braidwood, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2026

Practice location Address checks out

230 S Comet Dr
Braidwood, IL 60408-2028
Phone: (815) 458-0642
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 051308773 (IL)

Record details

NPI number1194644526
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 10, 2026
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026
Mailing address7400 W 58th St, Summit, IL 60501-1350

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