Andoniadis, Matthew M

Andoniadis, Matthew M is an individual health care provider with primary practice located at 12251 S 80Th Ave Palos Community Hospital, Palos Heights IL 60463-1256. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Andoniadis, Matthew M can be contacted via phone (708) 923-5700.

Contact Information

Primary practice address
12251 S 80Th Ave Palos Community Hospital Palos Heights IL 60463-1256
Phone: (708) 923-5700
Fax: (708) 923-8848
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036088211 Illinois

Profile Details

NPI number 1851361935
LBN Legal business name Andoniadis, Matthew M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Mar 20th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851361935 NPPES
Illinois MEDICAID 036088211
Illinois Other 050044398

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