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Matt Vatanatunyakum
Family Nurse Practitioner in Schaumburg, Illinois
NPI 1821766221

Matt Vatanatunyakum is a Family Nurse Practitioner based in Schaumburg, IL and is specialized in Family. Matt Vatanatunyakum practices in Schaumburg, IL. The NPI Number for Matt Vatanatunyakum is 1821766221 and holds a License No. 209025739 (Illinois).

The current practice location address for Matt Vatanatunyakum is 519 S Roselle Rd, Schaumburg, IL and can be reached out via phone at 847-985-0600 and via fax at 847-985-3786.

Location: 519 S Roselle Rd, Schaumburg, IL, 60193-2925
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821766221
Provider Name
Matt Vatanatunyakum
Credential
Provider Entity Type
Individual
Gender
Male
Address
519 S Roselle Rd, Schaumburg, IL, 60193-2925
Phone Number
847-985-0600
Fax Number
847-985-3786
Provider Enumeration Date
08/31/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
209025739 01 IL STATE LICENSE
institution
Provider Business Practice Location Address Details
Address
519 S Roselle Rd
City
Schaumburg
State
Illinois
Zip
60193-2925
Phone Number
847-985-0600
Fax Number
847-985-3786
person
Provider Business Mailing Address Details
Address
519 S Roselle Rd
City
Schaumburg
State
Illinois
Zip
60193-2925
Phone Number
847-985-0600
Fax Number
847-985-3786
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209025739 (Illinois)
Definition
Definition to come...
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