Individual
DR. STEVEN C MATHUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
180 S 3RD ST, SUITE 200, BELLEVILLE, IL 62220-1952
(618) 233-0017
(618) 233-0251
Mailing address
180 S 3RD ST, SUITE 200, BELLEVILLE, IL 62220-1952
(618) 233-0017
(618) 233-0251
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036061379
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036061379
—
IL
01
—
0707047
UHC MEDICARE COMPLETE
IL
01
—
111843
ALLIANCE BC/BS
MO
01
—
2113V3948
GROUP HEALTH PLAN
IL
01
—
8215125
BLUE CROSS BLUE SHIELD
IL
Enumeration date
06/06/2006
Last updated
03/19/2008
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