Individual
DR. CIA-MATTAE SAUNSIDERAE SEVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3223 W 63RD ST, CHICAGO, IL 60629-3333
(773) 768-5000
Mailing address
9119 S EXCHANGE AVE, CHICAGO, IL 60617-4225
(773) 768-5000
(773) 778-9593
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-119-418
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036119418
—
IL
Enumeration date
09/05/2006
Last updated
05/06/2016
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