Individual
ROBIN ABRAHAM MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
18698 W PETERSON RD, LIBERTYVILLE, IL 60048-1052
(847) 377-8855
Mailing address
18698 W PETERSON RD, LIBERTYVILLE, IL 60048-1052
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209013319
IL
Other
Enumeration date
09/09/2015
Last updated
12/21/2016
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