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Individual

HAMED R MATARIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
10604 SOUTHWEST HIGHWAY, STE 107, CHICAGO RIDGE, IL 60415-2717
(708) 422-0636
(708) 424-2164
Mailing address
10604 SOUTHWEST HIGHWAY, STE 107, CHICAGO RIDGE, IL 60415-2717
(708) 422-0636
(708) 424-2164

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
36115395
IL
207RP1001X
Pulmonary Disease Physician
Primary
4301088179
MI

Other

Enumeration date
05/25/2007
Last updated
06/07/2018
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