Individual
MR. DANIEL PHILIP MATELING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1324 N SHERIDAN RD, WAUKEGAN, IL 60085-2161
(847) 360-2860
Mailing address
1324 N SHERIDAN RD, WAUKEGAN, IL 60085-2161
(847) 360-2860
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085009750
IL
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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