Individual
MATHEW JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
9200 CALUMET AVE # 203, MUNSTER, IN 46321-2885
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
01088687A
IN
207N00000X
Dermatology Physician
036164482
IL
Other
Enumeration date
05/03/2018
Last updated
03/23/2025
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