Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 036084422 | IL |
N | 207XS0117X | Orthopaedic Spine Surgeon | 036084422 | IL |
NPI | 1346236163 |
---|---|
Provider Name | Steven E. Mather |
First Address | Chicago, IL 60674-0018 |
Second Address | Downers Grove, IL 60515 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2005 |
Last Update Date | 16/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036084422 | (05) | IL |
200037225 | RAILROAD MEDICARE (01) | IL |
F33183 | (02) | IL |