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Individual

DR. MATTHEW M NOBARI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
PO BOX 232410, SAN DIEGO, CA 92193-2410

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036161673
IL
207RP1001X
Pulmonary Disease Physician
A145102
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201073980
IN
Enumeration date
04/08/2008
Last updated
10/04/2022
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