Individual
JOAN MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5841 S MARYLAND AVE, MC 4028, CHICAGO, IL 60637-1447
(773) 702-2545
(773) 702-2190
Mailing address
5841 S MARYLAND AVE, MC 4028, CHICAGO, IL 60637-1447
(773) 702-2545
(773) 702-2190
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2268933
—
OH
Enumeration date
07/31/2006
Last updated
08/08/2007
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