Mathew, Liji
Mathew, Liji is an individual health care provider with primary practice located at 2100 Glenwood Avenue , Joliet IL 60435. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Mathew, Liji can be contacted via phone (815) 725-2121.Contact Information
Primary practice address
2100 Glenwood Avenue
Joliet IL 60435
Phone: (815) 725-2121
Fax: (815) 741-6303
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 36101622 | Illinois |
Profile Details
| NPI number | 1396788683 |
|---|---|
| LBN Legal business name | Mathew, Liji |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Aug 16th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396788683 | NPPES |
| Illinois | MEDICAID | 36101622 |
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