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Shaju Mathew
NPI 1710057716 · on the registry since 2006 · sole proprietor
Practice
- Address
- 2217 Shannon Ct
Darien, IL 60561 - Phone
- (630) 985-3548
- Organisation at this address
- Edward Hines Va Hospital
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 227800000X
227800000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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