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Individual

DR. HARSHIL MATTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3231 EUCLID AVE FL 5, BERWYN, IL 60402-4603
(708) 783-2000
Mailing address
3249 OAK PARK AVE, BERWYN, IL 60402-3429

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
125.074250
IL
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
319185
NY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/25/2019
Last updated
10/03/2023
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