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:
Health care specialties
Specialty | Code | License # | 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 2 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 | 1801959705 | NPPES |
Illinois | MEDICAID | 036065418 | |
Illinois | Other | 010025068 | |
Illinois | Other | 0031603366 |
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