MEDICARE: DANIELA E MATEI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	01056559	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558327486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIELA E MATEI M.D.

Provider Business Mailing Address
First Line	:	303 E SUPERIOR ST
Second Line	:	LURIE 4-107
City	:	CHICAGO
State	:	IL
Zip	:	60611-3015
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	250 E SUPERIOR ST
Second Line	:	SUITE 03-2303
City	:	CHICAGO
State	:	IL
Zip	:	60611-2914
Country	:	US
Telephone Number	:	312-695-0990
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2006
Last Update Date	:	01/14/2016

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