Matoka, Derek John

Matoka, Derek John is an individual health care provider with primary practice located at 2160 S 1St Ave Building 54, Maywood IL 60153-3328. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Urology, which is considered as his primary health care specialty. Matoka, Derek John can be contacted via phone (708) 216-6266.

Contact Information

Primary practice address
2160 S 1St Ave Building 54 Maywood IL 60153-3328
Phone: (708) 216-6266
Fax: (708) 216-6585
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 036-121562 Illinois

Profile Details

NPI number 1316193824
LBN Legal business name Matoka, Derek John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2008
Last updated Mar 2nd, 2012 - about 13 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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