MRS. Diane Fodor Mattes, CNP

NPI #1942425673 in Hines, Illinois

Provider Information

NPI Number
1942425673
Entity Type
Individual
Name
MRS. Diane Fodor Mattes, CNP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner
Credential
CNP
Enumeration Date
Apr 16, 2007
Last Updated
Nov 29, 2021

Practice Location

Address
5000 S 5TH AVE BLDG 1
Address 2
ROOM E236
City
Hines
ZIP Code
60141-3030
Phone
(708) 202-8387

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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