Individual
SARAH MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1300 W 2ND ST, ROCK FALLS, IL 61071-1005
(815) 626-2230
(815) 626-2231
Mailing address
1300 W 2ND ST, ROCK FALLS, IL 61071-1005
(815) 626-2230
(815) 626-2231
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
036062929
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036062929
—
IL
01
—
9800112
BCBS
IL
Enumeration date
11/29/2006
Last updated
01/13/2014
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