Tina M Mattera M.D.

NPI 1952526345 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1952526345
Gender Female
Enumeration Date 04/13/2007
Last Updated 09/29/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
5950 LINCOLN AVE
UNIT W
LISLE IL, 60532-3104, US
Phone (630) 541-8930
Fax (630) 541-8940
Business Location
5950 LINCOLN AVE
UNIT W
LISLE IL, 60532-3104, US
Phone (630) 541-8930
Fax (630) 541-8940
Toxanomy
Taxonomy Code 2084P0800X
License State Illinois
License Number 036099511
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According to our database, Tina M Mattera M.D. NPI is 1952526345, taxonomy code is 2084P0800X and license number is 036099511, license state is located at Illinois. Tina M Mattera M.D. physically located at 5950 Lincoln Ave, Lisle IL, 60532-3104. NPI Number Tina M Mattera M.D. has the Individual type.

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1952526345 NPI number is provided on an as is basis without warranty of any kind. 1952526345 is maintained by the National Plan & Provider Enumeration System. The contents of Tina M Mattera M.D. are for informational purposes only.