Organization
CARL P MATTIODA MD AND CHAOMING CHEN MDSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL P MATTIODA MC (PRESIDENT)
(815) 673-4363
Entity
Organization
Contact information
Practice address
104 W 6TH ST, STREATOR, IL 61364-2899
(815) 673-4363
(815) 672-2524
Mailing address
104 W 6TH ST, STREATOR, IL 61364-2899
(815) 673-4363
(815) 672-2524
Taxonomy
Speciality
Code
Description
License number
State
207VH0002X
Hospice and Palliative Medicine (Obstetrics & Gynecology) Physician
Primary
—
IL
Other
Enumeration date
05/14/2007
Last updated
03/28/2008
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