Mata-Machado, Nikolas
Mata-Machado, Nikolas is an individual health care provider with primary practice located at 100 E 14Th St Apt 801 , Chicago IL 60605-3666. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities, which is considered as his primary health care specialty. Mata-Machado, Nikolas can be contacted via phone (773) 569-1822.Contact Information
Primary practice address
100 E 14Th St Apt 801
Chicago IL 60605-3666
Phone: (773) 569-1822
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurodevelopmental Disabilities | 2080P0008X | 036131814 | Illinois |
Profile Details
| NPI number | 1295056893 |
|---|---|
| LBN Legal business name | Mata-Machado, Nikolas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2010 |
| Last updated | Jun 14th, 2023 - about 3 years ago |
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 | 1295056893 | NPPES |
| Illinois | MEDICAID | 036131814 |
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