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1811204019
BONEY MATTATHETHU NINAN
CHICAGO, IL
NPI
1811204019
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: IL 125057406)
Enumeration Date
2010-09-09
Last Update Date
2021-11-30
Business Address
Dr. BONEY MATTATHETHU NINAN M.D
1900 W POLK ST MEDICINE
CHICAGO, IL 60612-3723
Phone number: 312-864-7203
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Mailing Address
Dr. BONEY MATTATHETHU NINAN M.D
1548 W HARRISON ST APT 3 B
CHICAGO, IL 60607-3169
Phone number: 630-398-1030
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