Shaju Mathew
Respiratory Therapist, Certified in Darien, IL. Individual provider (NPI-1).
NPI number1710057716
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1710057716
- Entity type
- Individual (NPI-1)
- Name
- Shaju Mathew
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 8, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 227800000X | Respiratory Therapist, Certified | 194003141 | IL | Yes |
Practice location
2217 Shannon CtDarien, IL 60561-8457
Phone 630-985-3548
Mailing address
2217 Shannon CtDarien, IL 60561-8457
Phone 630-985-3548
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