Mathew, Abraham P
Mathew, Abraham P is an sole proprietor health care provider with primary practice located at 3330 W 177Th St Ste 1G , Hazel Crest IL 60429-2186. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Mathew, Abraham P can be contacted via phone (708) 687-5400.Contact Information
Primary practice address
3330 W 177Th St Ste 1G
Hazel Crest IL 60429-2186
Phone: (708) 687-5400
Fax: (708) 960-4159
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036088194 | Illinois |
Profile Details
| NPI number | 1770640880 |
|---|---|
| LBN Legal business name | Mathew, Abraham P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Dec 10th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770640880 | NPPES |
| Illinois | MEDICAID | 036088194 |
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