Mark C Matray in Lagrange - Pediatrics

Mark C Matray - NPI 1225046287

Mark C Matray is a Pediatrics in Lagrange, Illinois. Mark C Matray practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Mark C Matray is 1225046287. The last update date is 2007-07-08.

Mark C Matray's current location address is 4727 Willow Springs Rd, Lagrange, Illinois. You can contact this provider via phone number 7085880088 and fax number 7085880588. The mailing address for Mark C Matray is 4727 Willow Springs Rd, Lagrange, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Mark C Matray
Address 4727 Willow Springs Rd, Lagrange, Illinois
Phone Number 7085880088
Fax Number 7085880588
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1225046287
Provider Enumeration Date 2006-08-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4727 Willow Springs Rd
City Lagrange
State Illinois (IL)
Post Code 60525
Phone Number 7085880088
Fax Number 7085880588

Provider's Primary Taxonomy Detail

Speciality Pediatrics
Taxonomy 208000000X
Definition:
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
31600935 IL BLUE SHIELD

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FAQs about Mark C Matray

What is the unique identifier code issued to Mark C Matray by the Centers for Medicare & Medicaid Services?

The Mark C Matray has been assigned the NPI (National Provider Identifier) 1225046287. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Mark C Matray?

The Mark C Matray is physically situated at 4727 Willow Springs Rd, in the city of Lagrange, state of IL, with the postal code 60525.

What is Mark C Matray's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Mark C Matray is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 208000000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1225046287 to Mark C Matray?

The Centers for Medicare & Medicaid Services assigned the 1225046287 to Mark C Matray on 2006-08-04.

When was the Mark C Matray's information last updated?

The Mark C Matray's information was last updated on 2007-07-08.

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