Individual
ELIZABETH MATA-THIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1950 W POLK ST FL 4, CHICAGO, IL 60612-3723
(312) 864-4480
(234) 405-3808
Mailing address
1950 W POLK ST FL 4, CHICAGO, IL 60612-3723
(312) 864-4480
(520) 626-6020
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
125084992
IL
Other
Enumeration date
05/02/2023
Last updated
07/18/2024
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