SearchIllinois183500000X

Matthew Siuta

NPI 1659648368 · on the registry since 2011 · sole proprietor

Practice

Address
3114 Village Office Pl
Champaign, IL 61822
Phone
(217) 378-4807
Clinicians at this address
4

Registry record

Primary taxonomy
183500000X
183500000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-11-23

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