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1295056893
NIKOLAS MATA-MACHADO
CHICAGO, IL
NPI
1295056893
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0008X Pediatrics, Neurodevelopmental Disabilities
(Licence: IL 036131814)
Enumeration Date
2010-06-17
Last Update Date
2023-06-14
Business Address
NIKOLAS MATA-MACHADO M.D.
100 E 14TH ST APT 801
CHICAGO, IL 60605-3666
Phone number: 773-569-1822
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Mailing Address
NIKOLAS MATA-MACHADO M.D.
100 E 14TH ST APT 1202
CHICAGO, IL 60605-3671
Phone number: 718-300-2246
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