Nisha Mathew

NPI #1376990820 in Crystal Lake, Illinois

Provider Information

NPI Number: 1376990820
Entity Type: Individual
Name: Nisha Mathew
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: May 14, 2016
Last Updated: May 14, 2016

Practice Location

Address: 6140 NORTHWEST HWY
City: Crystal Lake
State: Illinois
ZIP Code: 60014-7931
Phone: (815) 356-8767

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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