Sophia Matos, MD
Otolaryngology in Springfield, IL. Individual provider (NPI-1).
NPI number1093453029
StatusActive
Last updated in NPPESMay 20, 2022
Details
- NPI
- 1093453029
- Entity type
- Individual (NPI-1)
- Name
- Sophia Matos
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 20, 2022
- Certification date
- May 20, 2022
- Last updated
- May 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | 125.079351 | IL | Yes |
Practice location
720 N Bond StSpringfield, IL 62702-4952
Phone 217-545-8000
Mailing address
Po Box 19662Springfield, IL 62794-9662
Phone 217-545-8000
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