Individual provider · Type 1 NPI
Lizamma Mathew, NP
Adult Health Nurse Practitioner · Chicago, IL
NPI number
1497831549
Active
Practice location
1901-WEST-HARRISON Street
Chicago, IL 60612
Fax (312) 864-9765
Mailing address
1685 Holly Ave
Northbrook, IL 60062-5021
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 209-004591 (IL) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1497831549
Lizamma Mathew, NP's National Provider Identifier is 1497831549, issued on Oct 31, 2006. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Chicago, IL. The record was last updated on Apr 27, 2021.