MEDICARE: DR. SHUBHA MATHUR DO

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	207R00000X	Internal Medicine Physician	036.160887	IL
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	036.160887	IL

General Provider Information

NPI Number	:	1922568377
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHUBHA MATHUR DO

Provider Business Mailing Address
First Line	:	600 S PAULINA ST STE 403
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-3806
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 S PAULINA ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60612-3806
Country	:	US
Telephone Number	:	312-942-2552
Fax Number	:

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

Provider Enumeration Date	:	03/21/2019
Last Update Date	:	04/16/2026

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Directions to “ DR. SHUBHA MATHUR DO” Practice Location

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