NPI 1033370937 MATTHEW RODRIDGO ENDARA MD CHICAGO IL. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Matthew Rodridgo Endara - NPI: 1033370937

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MATTHEW RODRIDGO ENDARA
NPI Number: 1033370937
Entity Type Code: Individual (1)
Gender: M
Credentials: MD
License Number: 036.134420
Business Practice Address: 823 N 129th Infantry Dr
Joliet, IL - 604358346
Business Phone Number: 8157299527
Business Fax Number:
Mailing Address: 5623 N Newcastle Ave,
CHICAGO
State: IL
Postal Code: 606313145
Phone Number:
Fax Number:
NPI Enumeration Date: 06/23/2008
NPI Last Update Date: 06/19/2014
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 2086S0122X
License Number: 036.134420
Healthcare Provider Taxonomy:
(Secondary)
Y
State: IL
Taxonomy Type: Allopathic & Osteopathic Physicians
Taxonomy Classification: Surgery
Taxonomy Specialization: Plastic and Reconstructive Surgery
Taxonomy Definition:
A surgeon who specializes in plastic and reconstructive surgery.


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