Individual
JAMES MICHAEL MATHEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1830 MEDITERRANEAN DR, SYCAMORE, IL 60178
(815) 306-2700
Mailing address
1830 MEDITERRANEAN DR, SYCAMORE, IL 60178-3144
(815) 306-2700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-088853
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200492110
—
IN
Enumeration date
08/18/2005
Last updated
09/20/2018
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