Marina Mathew M.D,

NPI 1487843330 - Internal Medicine - 207R00000X

NPI Details
NPI 1487843330
Gender Female
Enumeration Date 10/16/2007
Last Updated 10/19/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
834 E 42ND PL
UNIT # 2
CHICAGO IL, 60653-2904, US
Phone (312) 953-0356
Fax
Business Location
834 E 42ND PL
UNIT # 2
CHICAGO IL, 60653-2904, US
Phone
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Illinois
License Number 036123988
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According to our database, Dr. Marina Mathew M.D, NPI is 1487843330, taxonomy code is 207R00000X and license number is 036123988, license state is located at Illinois. Marina Mathew M.D, physically located at 834 E 42nd Pl, Chicago IL, 60653-2904. NPI Number Marina Mathew M.D, has the Individual type.

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1487843330 NPI number is provided on an as is basis without warranty of any kind. 1487843330 is maintained by the National Plan & Provider Enumeration System. The contents of Marina Mathew M.D, are for informational purposes only.