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Shanta D. Mattai
Neurology Physician in Peoria, Illinois
NPI 1609974096

Shanta D. Mattai is a Neurology Physician based in Peoria, IL and is specialized in Neurology. Shanta D. Mattai practices in Peoria, IL. The NPI Number for Shanta D. Mattai is 1609974096 and holds a License No. (Illinois).

The current practice location address for Shanta D. Mattai is 100 Ne Randolph Ave, Peoria, IL and can be reached out via phone at 309-624-8500 and via fax at 309-655-8552.

Location: 100 Ne Randolph Ave, Peoria, IL, 61606-1919
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1609974096
Provider Name
Shanta D. Mattai
Credential
Provider Entity Type
Individual
Gender
Female
Address
100 Ne Randolph Ave, Peoria, IL, 61606-1919
Phone Number
309-624-8500
Fax Number
309-655-8552
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
100 Ne Randolph Ave
City
Peoria
State
Illinois
Zip
61606-1919
Phone Number
309-624-8500
Fax Number
309-655-8552
person
Provider Business Mailing Address Details
Address
100 Ne Randolph Ave
City
Peoria
State
Illinois
Zip
61606-1919
Phone Number
309-624-8500
Fax Number
309-655-8552
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
(Illinois)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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