Individual
JASON D MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
1005 HEALTH CENTER DR, MATTOON, IL 61938-4693
(217) 258-4051
(217) 258-4063
Mailing address
1005 HEALTH CENTER DR STE 201, MATTOON, IL 61938-4693
(217) 238-6055
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
209-015694
IL
363L00000X
Nurse Practitioner
Primary
209015694
IL
Other
Enumeration date
03/01/2017
Last updated
09/19/2022
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