Matos, Gabor

Matos, Gabor is an individual health care provider with primary practice located at 619 E Mason St Ste 4P57 , Springfield IL 62701-1034. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Matos, Gabor can be contacted via phone (217) 788-0706.

Contact Information

Primary practice address
619 E Mason St Ste 4P57 Springfield IL 62701-1034
Phone: (217) 788-0706
Fax: (217) 525-2535
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 036-091713 Illinois
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036091713 Illinois
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X 036091713 Illinois

Profile Details

NPI number 1639251747
LBN Legal business name Matos, Gabor
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Dec 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639251747 NPPES
Illinois Other P00268337 RAILROAD
Illinois Other 00268337 RAILROAD
Illinois MEDICAID 036091713 RAILROAD

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