Richard C. Mattis in Melrose Park - Specialist

Richard C. Mattis - NPI 1225086580

Richard C. Mattis is a Specialist in Melrose Park, Illinois. Richard C. Mattis practices all healthcare services and medical treatments related to Specialist. The NPI Number for Richard C. Mattis is 1225086580. The last update date is 2007-07-08.

Richard C. Mattis's current location address is 675 W North Ave, Melrose Park, Illinois. You can contact this provider via phone number 7084505060 and fax number 7086814661. The mailing address for Richard C. Mattis is 675 W North Ave, Melrose Park, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Richard C. Mattis
Address 675 W North Ave, Melrose Park, Illinois
Phone Number 7084505060
Fax Number 7086814661
Sole Proprietor X
Credentials M.D.

NPI Number Detail

NPI Number 1225086580
Provider Enumeration Date 2006-05-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 675 W North Ave
City Melrose Park
State Illinois (IL)
Post Code 601601634
Phone Number 7084505060
Fax Number 7086814661

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Richard C. Mattis

What is the unique 10-digit identification code assigned to Richard C. Mattis by the Centers for Medicare & Medicaid Services?

The Richard C. Mattis has been issued the NPI (National Provider Identifier) 1225086580, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Richard C. Mattis's facilities are geographically located?

The facilities of Richard C. Mattis are physically situated at the following location: 675 W North Ave, Melrose Park, IL, 601601634.

What is Richard C. Mattis's specialized field of practice, and what is the corresponding taxonomy classification code?

The Richard C. Mattis's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.

On what date did Richard C. Mattis receive its 1225086580 assignment from the Centers for Medicare & Medicaid Services?

The Richard C. Mattis was assigned its 1225086580 on 2006-05-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information regarding Richard C. Mattis most recently updated?

The details pertaining to the Richard C. Mattis, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.

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