Individual provider · Type 1 NPI
Mary Matuszak, CMMP
Specialist · Chicago, IL
NPI number
1124430921
Active
Practice location
6039 W 55th St
Chicago, IL 60638-2644
Fax (773) 424-0032
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 227.016717 (IL) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1124430921
Mary Matuszak, CMMP's National Provider Identifier is 1124430921, issued on May 28, 2014. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Chicago, IL. The record was last updated on May 28, 2014.