ROBERT S. MATHIAS

OAK LAWN, IL
NPI1215965595
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2080P0210X Pediatrics Pediatric Nephrology
(Licence: IL  036-163497)
Additional Taxonomies2080P0210X Pediatrics Pediatric Nephrology
(Licence: CA  G54520)
2080P0210X Pediatrics Pediatric Nephrology
(Licence: FL  ME96677)
Enumeration Date2006-06-28
Last Update Date2023-05-09
Business Address
ROBERT S. MATHIAS MD
9555 S 52ND AVE
OAK LAWN, IL 60453-3054
Phone number: 708-684-5437
Mailing Address
ROBERT S. MATHIAS MD
P.O. BOX 191 PROVIDER ENROLLMENT DEPARTMENT
ROCKLAND, DE 19732-0191
Phone number: 407-650-7129