Individual
MARTIN M MATUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1131 S ARLINGTON HEIGHTS RD, ARLINGTON HTS, IL 60005-3140
(847) 290-1131
(847) 290-1146
Mailing address
1131 S ARLINGTON HEIGHTS RD, ARLINGTON HTS, IL 60005-3140
(847) 290-1131
(847) 290-1146
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01636282
BLUE CROSS / BLUE SHIELD
IL
Enumeration date
06/21/2005
Last updated
07/08/2007
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