Individual
DR. DEREK JOHN MATOKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, BUILDING 54, MAYWOOD, IL 60153-3328
(708) 216-6266
(708) 216-6585
Mailing address
2160 S 1ST AVE, BUILDING 54, MAYWOOD, IL 60153-3328
(708) 216-6266
(708) 216-6585
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
036-121562
IL
Other
Enumeration date
08/15/2008
Last updated
03/02/2012
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