Menezes, Matthew Charles

Menezes, Matthew Charles is an individual health care provider with primary practice located at 1550 Northwest Highway Suite 303, Park Ridge IL 60068-1411. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Menezes, Matthew Charles can be contacted via phone (847) 294-5160.

Contact Information

Primary practice address
1550 Northwest Highway Suite 303 Park Ridge IL 60068-1411
Phone: (847) 294-5160
Fax: (847) 294-9962
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 036121790 Illinois

Profile Details

NPI number 1477709699
LBN Legal business name Menezes, Matthew Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2008
Last updated Jun 26th, 2024 - about 3 months 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 1477709699 NPPES
Illinois MEDICAID 036121790

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