person
Annette J Mata
Psychiatric/Mental Health Clinical Nurse Specialist in Chicago, Illinois
NPI 1285187393

Annette J Mata is a Psychiatric/Mental Health Clinical Nurse Specialist based in Burr Ridge, IL and is specialized in Psychiatric/Mental Health. Annette J Mata practices in Chicago, IL. The NPI Number for Annette J Mata is 1285187393 and holds a License No. 209014473 (Illinois).

The current practice location address for Annette J Mata is 5841 S Maryland Ave, Chicago, IL and can be reached out via phone at 888-824-0200. You can also correspond with Annette J Mata through the mailing address at 150 HARVESTER DR, BURR RIDGE, IL - 60527-5919 (mailing address contact number: ).

Location: 5841 S Maryland Ave, Chicago, IL, 60527-5919
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Provider Profile Details
NPI Number
1285187393
Provider Name
Annette J Mata
Credential
Provider Entity Type
Individual
Gender
Female
Address
5841 S Maryland Ave, Chicago, IL, 60527-5919
Phone Number
888-824-0200
Fax Number
Provider Enumeration Date
07/26/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5841 S Maryland Ave
City
State
Zip
60637-1443
Phone Number
888-824-0200
Fax Number
person
Provider Business Mailing Address Details
Address
150 Harvester Dr
City
State
Zip
60527-5919
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
209014473 (Illinois)
Definition
Definition to come...
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