MEDICARE: BINITHA ANN MATHEW FNP

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	363LF0000X	Family Nurse Practitioner	209.018646	IL

General Provider Information

NPI Number	:	1194996835
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BINITHA ANN MATHEW FNP

Provider Business Mailing Address
First Line	:	PO BOX 74008272
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60674-8272
Country	:	US
Telephone Number	:	702-899-0595
Fax Number	:	702-977-1496

Provider Business Practice Location Address
First Line	:	1525 OXFORD LN
Second Line	:
City	:	NAPERVILLE
State	:	IL
Zip	:	60565-1511
Country	:	US
Telephone Number	:	872-231-3162
Fax Number	:

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

Provider Enumeration Date	:	03/21/2008
Last Update Date	:	10/10/2025

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