Mathew, Heidi M

Mathew, Heidi M is an individual health care provider with primary practice located at 1800 N Main St , Wheaton IL 60187. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Mathew, Heidi M can be contacted via phone (630) 614-4960.

Contact Information

Primary practice address
1800 N Main St Wheaton IL 60187
Phone: (630) 614-4960
Fax: (630) 682-3727
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209.010972 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209010972 Illinois

Profile Details

NPI number 1073944922
LBN Legal business name Mathew, Heidi M
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2013
Last updated Jul 30th, 2018 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073944922 NPPES
Illinois Other 209010972 MEDICAID
Illinois Other 206147 MEDICAID
Illinois Other F400119428 MEDICAID

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