Individual
HEMA MATHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4901 W. 79TH ST., SUITE 5 MIDWAY INTERNAL MEDICINE SC, BURBANK, IL 60459
(708) 952-4403
(708) 952-4404
Mailing address
4901 W. 79TH ST., SUITE 5 MIDWAY INTERNAL MEDICINE SC, BURBANK, IL 60459
(708) 952-4403
(708) 952-4404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036081366
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036081366
—
IL
01
—
204690
MEDICARE GROUP #
—
Enumeration date
09/21/2006
Last updated
07/12/2010
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