Individual
JUDITH MATTOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11845 SOUTHWEST HWY UNIT 12, PALOS HEIGHTS, IL 60463-1599
(708) 923-5422
(708) 923-5458
Mailing address
11845 SOUTHWEST HWY UNIT 12, PALOS HEIGHTS, IL 60463-1599
(708) 923-5422
(708) 923-5458
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209010899
IL
363LF0000X
Family Nurse Practitioner
209010899
IL
Other
Enumeration date
11/11/2013
Last updated
12/04/2025
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