Shaun Kuriakose Mathen in Dekalb - Family Medicine

Shaun Kuriakose Mathen - NPI 1770744476

Shaun Kuriakose Mathen is a Family Medicine in Dekalb, Illinois. Shaun Kuriakose Mathen practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Shaun Kuriakose Mathen is 1770744476. The last update date is 2017-05-12.

Shaun Kuriakose Mathen's current location address is 8 Health Services Dr, Dekalb, Illinois. You can contact this provider via phone number 8157540300 and fax number 8157540400. The mailing address for Shaun Kuriakose Mathen is 8 Health Services Dr, Dekalb, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Shaun Kuriakose Mathen
Address 8 Health Services Dr, Dekalb, Illinois
Phone Number 8157540300
Fax Number 8157540400
Sole Proprietor N
Credentials D.O.

NPI Number Detail

NPI Number 1770744476
Provider Enumeration Date 2008-06-24
Last Updated Date 2017-05-12

Provider Mailing Address Detail

Address 8 Health Services Dr
City Dekalb
State Illinois (IL)
Post Code 601159647
Phone Number 8157540300
Fax Number 8157540400

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 36119224
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
IL2305006 IL MEDICARE INDIVIDUAL
36119224 IL --
IL6309 IL MEDICARE GROUP

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FAQs about Shaun Kuriakose Mathen

What is the Shaun Kuriakose Mathen's unique identification number?

The Shaun Kuriakose Mathen has been assigned the NPI (National Provider Identifier) Number 1770744476 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Can you provide the Shaun Kuriakose Mathen's physical address?

The Shaun Kuriakose Mathen is physically located at 8 Health Services Dr, in the city of Dekalb, IL, with the postal code 601159647.

What is Shaun Kuriakose Mathen's area of expertise and its corresponding taxonomy classification?

The Shaun Kuriakose Mathen's field of specialization is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Shaun Kuriakose Mathen receive the assignment of its 1770744476 from the Centers for Medicare & Medicaid Services?

The Shaun Kuriakose Mathen was issued its 1770744476 by the Centers for Medicare & Medicaid Services on 2008-06-24.

When was the information pertaining to Shaun Kuriakose Mathen most recently updated or revised?

The details related to Shaun Kuriakose Mathen, including its address, specialty, and other relevant information, were last updated or revised on 2017-05-12.

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