Healthcare Provider Details

I. General information

NPI: 1366488553
Provider Name (Legal Business Name): FRANCES MARIE MATTHEWS MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2006
Last Update Date: 01/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

747 N RUTLEDGE ST 2204
SPRINGFIELD IL
62702-6700
US

IV. Provider business mailing address

747 N RUTLEDGE ST 2204
SPRINGFIELD IL
62702-6700
US

V. Phone/Fax

Practice location:
  • Phone: 217-525-2500
  • Fax:
Mailing address:
  • Phone: 217-525-2500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number036076863
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: