Mathen, Shaun Kuriakose

Mathen, Shaun Kuriakose is an individual health care provider with primary practice located at 8 Health Services Dr , Dekalb IL 60115-9647. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mathen, Shaun Kuriakose can be contacted via phone (815) 754-0300.

Contact Information

Primary practice address
8 Health Services Dr Dekalb IL 60115-9647
Phone: (815) 754-0300
Fax: (815) 754-0400
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036119224 Illinois

Profile Details

NPI number 1770744476
LBN Legal business name Mathen, Shaun Kuriakose
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2008
Last updated May 12th, 2017 - about 8 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 1770744476 NPPES
Illinois Other IL2305006 MEDICARE INDIVIDUAL
Illinois MEDICAID 036119224 MEDICARE INDIVIDUAL
Illinois Other IL6309 MEDICARE INDIVIDUAL

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