Individual
A. K. MATHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4177 S ARCHER AVE, CHICAGO, IL 60632-1849
(773) 254-2222
(773) 254-8444
Mailing address
PO BOX 3663, OAK BROOK, IL 60522-3663
(773) 254-2222
(773) 254-8444
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
036050312
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036050312
—
IL
Enumeration date
08/31/2006
Last updated
01/27/2025
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