Stephen S Matter in Normal - Gastroenterology

Stephen S Matter - NPI 1134228224

Stephen S Matter is a Gastroenterology in Normal, Illinois. Stephen S Matter practices all healthcare services and medical treatments related to Gastroenterology. The NPI Number for Stephen S Matter is 1134228224. The last update date is 2008-08-14.

Stephen S Matter's current location address is 2200 Jacobssen Dr, Normal, Illinois. You can contact this provider via phone number 3094511123 and fax number 3094511212. The mailing address for Stephen S Matter is 2200 Jacobssen Dr, Normal, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen S Matter
Address 2200 Jacobssen Dr, Normal, Illinois
Phone Number 3094511123
Fax Number 3094511212
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1134228224
Provider Enumeration Date 2006-09-22
Last Updated Date 2008-08-14

Provider Mailing Address Detail

Address 2200 Jacobssen Dr
City Normal
State Illinois (IL)
Post Code 617615516
Phone Number 3094511123
Fax Number 3094511212

Provider's Primary Taxonomy Detail

Speciality Gastroenterology
Taxonomy 207Rg0100X
Licence No 36078825
Definition:
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and perf

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
201622626001 IL --
360788251 IL --

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FAQs about Stephen S Matter

What is the Stephen S Matter's 1134228224?

The Stephen S Matter's NPI (National Provider Identifier) Number is 1134228224. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Where is the Stephen S Matter located?

The Stephen S Matter is located at 2200 Jacobssen Dr, Normal, IL 617615516.

What is Stephen S Matter's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Stephen S Matter's specialized field of practice is Gastroenterology, and the corresponding taxonomy code that categorizes this area of specialization is 207Rg0100X.

On what date did the Stephen S Matter receive its 1134228224 assignment from the Centers for Medicare & Medicaid Services?

The Stephen S Matter was assigned its 1134228224 by the Centers for Medicare & Medicaid Services on 2006-09-22.

When was the Stephen S Matter's information last updated?

The Stephen S Matter's information was last updated on 2008-08-14.

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