Individual
STEVEN E. MATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4115 FAIRVIEW AVE, DOWNERS GROVE, IL 60515
(630) 968-1881
(630) 968-3762
Mailing address
1860 PAYSPHERE CIR, CHICAGO, IL 60674-0018
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036084422
IL
207XS0117X
Orthopaedic Surgery of the Spine Physician
036084422
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036084422
—
IL
01
—
200037225
RAILROAD MEDICARE
IL
Enumeration date
09/27/2005
Last updated
07/16/2018
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