Individual
DR. MATTHEW CHARLES MENEZES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1550 NORTHWEST HIGHWAY, SUITE 303, PARK RIDGE, IL 60068-1411
(847) 294-5160
(847) 294-9962
Mailing address
210 S DESPLAINES ST, CHICAGO, IL 60661-5500
(312) 654-2700
(312) 654-9930
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036121790
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036121790
—
IL
Enumeration date
08/08/2008
Last updated
11/22/2024
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