Tina M Mattera is a Psychiatry in Lisle, Illinois. Tina M Mattera practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Tina M Mattera is 1952526345. The last update date is 2009-09-29.
Tina M Mattera's current location address is 5950 Lincoln Ave, Lisle, Illinois. You can contact this provider via phone number 6305418930 and fax number 6305418940. The mailing address for Tina M Mattera is 5950 Lincoln Ave, Lisle, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tina M Mattera |
|---|---|
| Address | 5950 Lincoln Ave, Lisle, Illinois |
| Phone Number | 6305418930 |
| Fax Number | 6305418940 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1952526345 |
|---|---|
| Provider Enumeration Date | 2007-04-13 |
| Last Updated Date | 2009-09-29 |
Provider Mailing Address Detail
| Address | 5950 Lincoln Ave |
|---|---|
| City | Lisle |
| State | Illinois (IL) |
| Post Code | 605323104 |
| Phone Number | 6305418930 |
| Fax Number | 6305418940 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 36099511 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| BCBS | IL | 022-27624 |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Tina M Mattera by the Centers for Medicare & Medicaid Services?
The Tina M Mattera has been assigned the NPI (National Provider Identifier) 1952526345 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Tina M Mattera?
The Tina M Mattera is situated at 5950 Lincoln Ave, in the city of Lisle, state of IL, with the zip code 605323104.
What is Tina M Mattera's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tina M Mattera's area of specialization is Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084P0800X.
When did the Tina M Mattera receive its 1952526345?
The Tina M Mattera was issued its 1952526345 on 2007-04-13, which is the date when the organization was assigned this unique identifier.
When was the information related to Tina M Mattera most recently updated or refreshed?
The details pertaining to the Tina M Mattera, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-09-29.
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