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

TaxonomyCodeLicense
Specialist Primary 174400000X227.016717 (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.