Carl P Mattioda MD and Chaoming Chen Mdsc

NPI #1659586279 in Streator, Illinois

Provider Information

NPI Number: 1659586279
Entity Type: Organization
Organization Name: Carl P Mattioda MD and Chaoming Chen Mdsc
Primary Specialty: Obstetrics & Gynecology - Hospice and Palliative Medicine
Enumeration Date: May 14, 2007
Last Updated: Mar 28, 2008

Practice Location

Address: 104 W 6TH ST
City: Streator
State: Illinois
ZIP Code: 61364-2899
Phone: (815) 673-4363

Authorized Official

Name: DR. CARL P MATTIODA, MC
Title: PRESIDENT
Phone: (815) 673-4363

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology - Hospice and Palliative Medicine — Hospice and Palliative Medicine	207VH0002X	Primary

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