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NPI Code Detail

MEDICARE: BENJAMIN MATHEW MD

MEDICARE: BENJAMIN MATHEW MD
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
1207W00000XOphthalmology Physician036129732IL

General Provider Information

NPI Number : 1477781466
Entity Type Code : Individual
Provider Name (Legal Business Name) : BENJAMIN MATHEW MD
Provider Business Mailing Address
First Line : 29624 NETWORK PL
Second Line :
City : CHICAGO
State : IL
Zip : 60673-1296
Country : US
Telephone Number : 815-337-7100
Fax Number : 815-337-4793
Provider Business Practice Location Address
First Line : 1221 N HIGHLAND AVE
Second Line :
City : AURORA
State : IL
Zip : 60506-1404
Country : US
Telephone Number : 630-859-8700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2009
Last Update Date : 01/08/2026

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