Elizabeth Mata-Thimm, MD
Dermatology in Chicago, IL. Individual provider (NPI-1).
NPI number1316636723
StatusActive
Last updated in NPPESJul 18, 2024
Details
- NPI
- 1316636723
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Mata-Thimm
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 2, 2023
- Certification date
- Jul 18, 2024
- Last updated
- Jul 18, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207N00000X | Dermatology | 125084992 | IL | Yes |
Practice location
1950 W Polk St Fl 4Chicago, IL 60612-3723
Phone 312-864-4480 · Fax 234-405-3808
Mailing address
1950 W Polk St Fl 4Chicago, IL 60612-3723
Phone 312-864-4480 · Fax 520-626-6020
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