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 |
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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 |
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Provider Enumeration Date | 2008-06-24 |
Last Updated Date | 2017-05-12 |
Provider Mailing Address Detail
Address | 8 Health Services Dr |
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City | Dekalb |
State | Illinois (IL) |
Post Code | 601159647 |
Phone Number | 8157540300 |
Fax Number | 8157540400 |
Provider's Primary Taxonomy Detail
Speciality | Family Medicine |
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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 |
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IL2305006 | IL | MEDICARE INDIVIDUAL | |
36119224 | IL | -- | |
IL6309 | IL | MEDICARE GROUP |
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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.
NPI Number: 1972506228
Address: 2102 Treasure Hills Blvd Ste 3.14406, Harlingen, TX