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John A Mattingly, MD
Neuroradiology Physician in Swansea, Illinois
NPI 1952355786

John A Mattingly is a Neuroradiology Physician based in Belleville, IL and is specialized in Neuroradiology. John A Mattingly practices in Swansea, IL and has the professional credentials of MD. The NPI Number for John A Mattingly is 1952355786 and holds a License No. 0036096843 (Illinois).

The current practice location address for John A Mattingly is 12 Wolf Creek Dr, Swansea, IL and can be reached out via phone at 618-277-7912 and via fax at 618-277-7915.

Location: 12 Wolf Creek Dr, Swansea, IL, 62223-2202
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952355786
Provider Name
John A Mattingly
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
12 Wolf Creek Dr, Swansea, IL, 62223-2202
Phone Number
618-277-7912
Fax Number
618-277-7915
Provider Enumeration Date
05/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P01026934 01 RR MEDICARE
366096843 05 IL
0360916843 05 IL
376069 01 HEALTHLINK
institution
Provider Business Practice Location Address Details
Address
12 Wolf Creek Dr
City
Swansea
State
Illinois
Zip
62226-2314
Phone Number
618-277-7912
Fax Number
618-277-7915
person
Provider Business Mailing Address Details
Address
12 Wolf Creek Dr
City
Swansea
State
Illinois
Zip
62226-2314
Phone Number
618-277-7912
Fax Number
618-277-7915
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
103379 (Missouri)
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
0036096843 (Illinois)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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