Individual
JOHN THOMAS MATERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3046 127TH ST, BLUE ISLAND, IL 60406-1827
(708) 377-7920
Mailing address
PO BOX 746715, ATLANTA, GA 30374-6715
(312) 733-9730
(773) 866-8014
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036146273
IL
208M00000X
Hospitalist Physician
036146273
IL
Other
Enumeration date
04/24/2015
Last updated
06/10/2025
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