Individual
NICHOLAS RYAN MATHENIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
120 SPALDING DR, SUITE 101, NAPERVILLE, IL 60540-6508
(630) 527-7730
Mailing address
120 SPALDING DR, SUITE 101, NAPERVILLE, IL 60540-6508
(630) 527-7730
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
336096512
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2011
Last updated
01/26/2021
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