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Contact Information

MARILYN MATTOX
15709 ELLIS AVE
DOLTON, IL60419-2718
 Phone: 708-841-7746
 Fax: 708-841-0381
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal Intensive Care

163WN0002X
Indicates primary specialty

NPI Profile & details for MARILYN MATTOX · (Female)

NPI Number 1699986513
Status Active
Credentials
Entity Individual
Enumeration date 05/24/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers Not Available
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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