Individual
MANAPURATHU MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
40 N AIRLITE ST, SUITE 4, ELGIN, IL 60123-4965
(847) 695-8454
(847) 695-9868
Mailing address
3040 W SALT CREEK LN, ARLINGTON HTS, IL 60005-1069
(847) 385-7322
(847) 483-7043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-44623
IL
Other
Enumeration date
09/22/2006
Last updated
07/08/2007
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