Individual provider · Type 1 NPI

Beeba Achamma Mathew, AGACNP-BC

Nurse Practitioner · Chicago, IL

NPI number 1659914935 Active

Practice location

676 N Saint Clair St Ste 14-044
Chicago, IL 60611-2927

Fax (312) 695-1394

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XAPN.1000493-NP (CO)
Acute Care Nurse Practitioner 363LA2100X209.020118 (IL)
Nurse Practitioner Primary 363L00000X209020118 (IL)
Adult Health Nurse Practitioner 363LA2200X209.020118 (IL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1659914935

Beeba Achamma Mathew, AGACNP-BC's National Provider Identifier is 1659914935, issued on Oct 19, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Chicago, IL. The record was last updated on Oct 6, 2026.