Derek John Matoka in Maywood - Pediatric Urology
Derek John Matoka - NPI 1316193824
Derek John Matoka is a Pediatric Urology in Maywood, Illinois. Derek John Matoka practices all healthcare services and medical treatments related to Pediatric Urology. The NPI Number for Derek John Matoka is 1316193824. The last update date is 2012-03-02.
Derek John Matoka's current location address is 2160 S 1st Ave, Maywood, Illinois. You can contact this provider via phone number 7082166266 and fax number 7082166585. The mailing address for Derek John Matoka is 2160 S 1st Ave, Maywood, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Derek John Matoka |
|---|---|
| Address | 2160 S 1st Ave, Maywood, Illinois |
| Phone Number | 7082166266 |
| Fax Number | 7082166585 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1316193824 |
|---|---|
| Provider Enumeration Date | 2008-08-15 |
| Last Updated Date | 2012-03-02 |
Provider Mailing Address Detail
| Address | 2160 S 1st Ave |
|---|---|
| City | Maywood |
| State | Illinois (IL) |
| Post Code | 601533328 |
| Phone Number | 7082166266 |
| Fax Number | 7082166585 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Urology |
|---|---|
| Taxonomy | 2088P0231X |
| Licence No | 036-121562 |
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Definition: Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Derek John Matoka by the Centers for Medicare & Medicaid Services?
The Derek John Matoka has been assigned the NPI (National Provider Identifier) 1316193824 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Derek John Matoka is geographically located?
The Derek John Matoka is physically situated at the following location: 2160 S 1St Ave, Maywood, IL, 601533328.
What is Derek John Matoka's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Derek John Matoka is Pediatric Urology, and the taxonomy code that classifies this field of practice is 2088P0231X.
On what date did the Derek John Matoka receive the assignment of its 1316193824 from the Centers for Medicare & Medicaid Services?
The Derek John Matoka was issued its 1316193824 by the Centers for Medicare & Medicaid Services on 2008-08-15.
When was the information related to Derek John Matoka most recently updated or refreshed?
The details pertaining to the Derek John Matoka, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-03-02.