Individual
MR. RANJIV IGNATIUS MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 N 8TH ST STE 3B, SPRINGFIELD, IL 62701-1041
(217) 545-7123
(217) 545-7305
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-8000
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
Primary
036-136598
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036136598
—
IL
05
—
137702700
—
MD
Enumeration date
05/11/2006
Last updated
09/30/2024
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