Individual provider · Type 1 NPI

Shanta D. Mattai

Neurology Physician · Peoria, IL

NPI number 1609974096 Active

Practice location

100 NE Randolph Ave
Peoria, IL 61606-1919

Call (309) 624-8500 Map

Fax (309) 655-8552

Specialties and licenses

TaxonomyCodeLicense
Neurology Physician Primary 2084N0400XNone listed

Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

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About NPI 1609974096

Shanta D. Mattai's National Provider Identifier is 1609974096, issued on Sep 20, 2006. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Peoria, IL. The record was last updated on Jul 14, 2007.