Search › Illinois › 183500000X
Nisha Mathew
NPI 1376990820 · on the registry since 2016
Practice
- Address
- 6140 Northwest Hwy
Crystal Lake, IL 60014 - Phone
- (815) 356-8767
- Fax
- (815) 356-8790
- Organisation at this address
- American Drug Stores Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-05-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois