Mancy Mathew, NP-C
Nurse Practitioner, Family in Burr Ridge, IL. Individual provider (NPI-1).
NPI number1376046698
StatusActive
Last updated in NPPESMar 15, 2018
Details
- NPI
- 1376046698
- Entity type
- Individual (NPI-1)
- Name
- Mancy Mathew
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 13, 2018
- Last updated
- Mar 15, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 209016901 | IL | Yes |
Practice location
7055 High Grove Blvd Ste 100Burr Ridge, IL 60527-7625
Phone 630-371-9980
Mailing address
7055 High Grove Blvd Ste 100Burr Ridge, IL 60527-7625
Phone 630-371-9980
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