Individual
VIN MATHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5841 S. MARYLAND AVE, MAIL CODE 2026, CHICAGO, IL 60637-1443
(773) 834-9980
Mailing address
180 HARVESTER DR STE 110, BURR RIDGE, IL 60527-4503
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
036148391
IL
208600000X
Surgery Physician
T2006029715
MO
Other
Enumeration date
09/25/2006
Last updated
05/03/2019
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