Mathew, Samuel P

Mathew, Samuel P is an individual health care provider with primary practice located at 5320 159Th St Ste 100 , Oak Forest IL 60452-3329. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Mathew, Samuel P can be contacted via phone (708) 206-0305.

Contact Information

Primary practice address
5320 159Th St Ste 100 Oak Forest IL 60452-3329
Phone: (708) 206-0305
Fax: (708) 206-0300
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036065418 Illinois

Profile Details

NPI number 1801959705
LBN Legal business name Mathew, Samuel P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Feb 17th, 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 1801959705 NPPES
Illinois MEDICAID 036065418
Illinois Other 010025068
Illinois Other 0031603366

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