Individual
CYNTHIA MATA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
101 S BROADWAY, AURORA, IL 60505-4276
(708) 747-7100
Mailing address
1501 S CALIFORNIA AVE, CHICAGO, IL 60608-1732
(773) 257-6770
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-105163
IL
Other
Enumeration date
10/20/2006
Last updated
12/19/2012
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