Cynthia Mata MD

NPI 1073695847 - Pediatrics - 208000000X

NPI Details
NPI 1073695847
Gender Female
Enumeration Date 10/20/2006
Last Updated 12/19/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
101 S BROADWAY
AURORA IL, 60505-4276, US
Phone (708) 747-7100
Fax
Business Location
1501 S CALIFORNIA AVE
CHICAGO IL, 60608-1732, US
Phone (773) 257-6770
Fax
Toxanomy
Taxonomy Code 208000000X
License State Illinois
License Number 036-105163
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According to our database, Cynthia Mata MD NPI is 1073695847, taxonomy code is 208000000X and license number is 036-105163, license state is located at Illinois. Cynthia Mata MD physically located at 101 S Broadway, Aurora IL, 60505-4276. NPI Number Cynthia Mata MD has the Individual type.

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1073695847 NPI number is provided on an as is basis without warranty of any kind. 1073695847 is maintained by the National Plan & Provider Enumeration System. The contents of Cynthia Mata MD are for informational purposes only.