Individual
DR. KOSTA NIKOLOV MATROV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005-2349
(877) 635-9229
(847) 618-3259
Mailing address
800 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005-2349
(877) 635-9229
(847) 618-3259
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036147466
IL
207R00000X
Internal Medicine Physician
25MA08971200
NJ
207R00000X
Internal Medicine Physician
263200
NY
207R00000X
Internal Medicine Physician
26984
NE
207R00000X
Internal Medicine Physician
40616
IA
208M00000X
Hospitalist Physician
Primary
036147466
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036147466
STATE LICENSE
IL
Enumeration date
01/13/2011
Last updated
07/08/2021
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