Lizamma Mathew is a Adult Health in Chicago, Illinois. Lizamma Mathew practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Lizamma Mathew is 1497831549. The last update date is 2021-04-27.
Lizamma Mathew's current location address is 1901-west-harrison Street, Chicago, Illinois. You can contact this provider via phone number 3128646000 and fax number 3128649765. The mailing address for Lizamma Mathew is 1901-west-harrison Street, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lizamma Mathew |
|---|---|
| Address | 1901-west-harrison Street, Chicago, Illinois |
| Phone Number | 3128646000 |
| Fax Number | 3128649765 |
| Sole Proprietor | N |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1497831549 |
|---|---|
| Provider Enumeration Date | 2006-10-31 |
| Last Updated Date | 2021-04-27 |
Provider Mailing Address Detail
| Address | 1901-west-harrison Street |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 60612 |
| Phone Number | 3128646000 |
| Fax Number | 3128649765 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Health |
|---|---|
| Taxonomy | 363La2200X |
| Licence No | 209-004591 |
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Definition: An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients. |
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Post Comment/ Review Below
What is the unique identifier code issued to Lizamma Mathew by the Centers for Medicare & Medicaid Services?
The Lizamma Mathew has been assigned the NPI (National Provider Identifier) 1497831549. 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 Lizamma Mathew?
The Lizamma Mathew is physically situated at 1901-West-Harrison Street, in the city of Chicago, state of IL, with the postal code 60612.
What is the Lizamma Mathew's specialty and taxonomy code?
The Lizamma Mathew's specialty is Adult Health, and the corresponding taxonomy code is 363La2200X.
On what date did the Lizamma Mathew receive the assignment of its 1497831549 from the Centers for Medicare & Medicaid Services?
The Lizamma Mathew was issued its 1497831549 by the Centers for Medicare & Medicaid Services on 2006-10-31.
As of what date were the details pertaining to Lizamma Mathew last refreshed?
The information related to the Lizamma Mathew, including its address, specialty, and other relevant details, was last updated on 2021-04-27.