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Contact Information

TINA M MATTERA, MD
5950 LINCOLN AVE
UNIT W
LISLE, IL60532-3104
 Phone: 630-541-8930
 Fax: 630-541-8940
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for TINA M MATTERA · (Female)

NPI # 1952526345
Status Active
Credentials MD
Entity Individual
Enumeration date 04/13/2007
Last updated 09/29/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036099511
  • IL Other BCBS 022-27624
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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