Mata-Machado, Nikolas

Mata-Machado, Nikolas is an individual health care provider with primary practice located at 100 E 14Th St Apt 801 , Chicago IL 60605-3666. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, which is considered as his primary health care specialty. Mata-Machado, Nikolas can be contacted via phone (773) 569-1822.

Contact Information

Primary practice address
100 E 14Th St Apt 801 Chicago IL 60605-3666
Phone: (773) 569-1822
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities 2080P0008X 036131814 Illinois

Profile Details

NPI number 1295056893
LBN Legal business name Mata-Machado, Nikolas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2010
Last updated Jun 14th, 2023 - about last year

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 1295056893 NPPES
Illinois MEDICAID 036131814

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