Individual provider · Type 1 NPI
Reba Elizabeth Mathew
Family Nurse Practitioner · Evanston, IL
NPI number
1013566892
Active
Practice location
500 Asbury Ave # 316-3320
Evanston, IL 60202-2724
Mailing address
3450 Oakton St Ste 300
Skokie, IL 60076-2951
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 209.019373 (IL) |
Family Nurse Practitioner: Definition to come...
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About NPI 1013566892
Reba Elizabeth Mathew's National Provider Identifier is 1013566892, issued on Sep 5, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Evanston, IL. The record was last updated on Sep 5, 2019.