Individual
CHAIMAA MATAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5215 N CALIFORNIA AVE, STE 602, CHICAGO, IL 60625-7014
(773) 878-3627
(773) 878-0985
Mailing address
2740 W FOSTER AVE, STE LL7, CHICAGO, IL 60625-3543
(773) 878-8200
(773) 293-4197
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036131319
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
125057777
LICENSE
IL
Enumeration date
08/13/2010
Last updated
10/30/2020
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