Antalek, Matthew
Antalek, Matthew is an sole proprietor health care provider with primary practice located at 2650 Ridge Ave , Evanston IL 60201-1700. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Antalek, Matthew can be contacted via phone (847) 570-2475.Contact Information
Primary practice address
2650 Ridge Ave
Evanston IL 60201-1700
Phone: (847) 570-2475
Fax: (847) 570-2942
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 036176567 | Illinois |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036176567 | Illinois |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 036176567 | Illinois |
Profile Details
| NPI number | 1326430166 |
|---|---|
| LBN Legal business name | Antalek, Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 3rd, 2015 |
| Last updated | Aug 14th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326430166 | NPPES |
| Illinois | Other | 036176567 | STATE LICENSE |
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