Root, Matthew
Root, Matthew is an individual health care provider with primary practice located at 700 W Jefferson St , Shorewood IL 60404-7608. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Root, Matthew can be contacted via phone (815) 514-2040.Contact Information
Primary practice address
700 W Jefferson St
Shorewood IL 60404-7608
Phone: (815) 514-2040
Fax: (815) 741-2860
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036.157948 | Illinois |
Profile Details
| NPI number | 1356835284 |
|---|---|
| LBN Legal business name | Root, Matthew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2018 |
| Last updated | Sep 29th, 2021 - about 4 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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