Individual
CHARY MATHEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1950 W POLK ST, CHICAGO, IL 60612-3723
(312) 864-6000
Mailing address
1950 W POLK ST, CHICAGO, IL 60612-3723
(312) 864-6000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209015540
IL
Other
Enumeration date
06/01/2017
Last updated
04/28/2021
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