NPI 1144336009

Manoj Mathew, MD

Practitioner Family Medicine Physician Lincolnwood, IL

Practice location

Address: 7301 N Lincoln Ave, Lincolnwood, IL 60712-1709
Phone: (224) 766-7669
Fax: (847) 674-0892
Mailing address: 7301 N Lincoln Ave STE 183, Lincolnwood, IL 60712-1736

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 036-107090 (IL)

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Registry record

NPI: 1144336009
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Aug 2006
Record last updated: 17 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.