MATTHEW DAVID RATHBUN


Address: 2955 W 95th St, Evergreen Park, IL 60805-2409
Phone: 3318142186

MATTHEW DAVID RATHBUN (NPI# 1184239667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184239667
Entity Type Individual
Full Name MATTHEW DAVID RATHBUN
Credential NP
Practice Address 2955 W 95th St
Evergreen Park
IL 60805-2409
Mailing Address 15027 W Keswick Pl
Lockport
IL 60441-6251
Practice Telephone 3318142186
Mailing Telephone 6303904567
Enumeration Date 2020-09-11
Last Update Date 2020-09-11
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2100X Nurse Practitioner
Specialization: Acute Care
209021678 IL Physician Assistants & Advanced Practice Nursing Providers
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
209021678 IL Physician Assistants & Advanced Practice Nursing Providers

Other Providers MATTHEW RATHBUN

NPI Name Taxonomy Address Enumeration
1679194989 Matthew Rathbun Counselor 551 S Holland Ln, Wichita, KS 67209-2007 2020-04-28
1396247763 Matthew John Rathbun Nurse Anesthetist, Certified Registered 1800 Orleans St, Baltimore, MD 21287 2018-03-01
1649660614 Matthew Rathbun Licensed Practical Nurse 9330 59th Ave Sw, Lakewood, WA 98499-2858 2015-01-29

Office Location

Street Address 2955 W 95TH ST
City EVERGREEN PARK
State IL
Zip Code 60805-2409

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174582811 Abdallah Altarshan Internal Medicine 2955 W 95th St, Evergreen Park, IL 60805-2409 2006-03-21
1679171557 Daria Delores Sampler Registered Nurse 2955 W 95th St, Evergreen Park, IL 60805-2409 2020-10-13
1700435534 Arrion Shelton Nurse Practitioner 2955 W 95th St, Evergreen Park, IL 60805-2409 2019-09-04
1255820627 Patricia Swistowicz Nurse Practitioner 2955 W 95th St, Evergreen Park, IL 60805-2409 2018-05-01
1376047480 Deborah Murray Nurse Practitioner 2955 W 95th St, Evergreen Park, IL 60805-2409 2018-03-22
1518468727 Connie Vaneekeren Nurse Practitioner 2955 W 95th St, Evergreen Park, IL 60805-2409 2018-02-22
1073013629 Jennifer Courts Internal Medicine 2955 W 95th St, Evergreen Park, IL 60805-2409 2018-02-20
1861931792 Amro Atassi Pharmacist 2955 W 95th St, Evergreen Park, IL 60805-2409 2017-02-12
1316481898 Prime Plus Pharmacy LLC Pharmacy 2955 W 95th St, Evergreen Park, IL 60805-2409 2016-12-18
1609230887 Suzanne Glavin Nurse Practitioner 2955 W 95th St, Evergreen Park, IL 60805-2409 2016-04-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487254603 Cynthia Nicole Bucio Pharmacist 9400 S. Western, Evergreen Park, N/A 60805 2020-10-27
1124530456 Foundations Counseling, LLC Social Worker 9730 S Western Ave Ste 215, Evergreen Park, IL 60805 2017-10-26
1184147886 Luke Blaeser Specialist/Technologist 2856 W. 97th Pl., Evergreen Park, IL 60805 2017-07-25
1396193322 Daniel Joseph Bierbaum Howard Emergency Medicine 2800 95th St, Emergency Department, Evergreen Park, IL 60805 2016-05-31
1588037873 Lcr Primary Care LLC Exclusive Provider Organization 9237 S.pulaski, Ste. 2s, Evergreen Park, IL 60805 2015-11-09
1447639091 Nancy Sanchez Social Worker 9832 S Utica Ave, Evergreen Park, IL 60805 2015-05-28
1629334743 Harshad M. Mehta Md Sc Psychiatry & Neurology 2850 W. 95th Street, Suite 206, Evergreen Park, IL 60805 2012-04-03
1235407305 Victoria T Adesina Pharmacist 8700 South Kedzie Ave, Evergreen Park, IL 60805 2011-12-05
1891072922 Zahia-lena Refat Hussien Pharmacist 8700 S. Kedzie Ave, Evergreen Park, IL 60805 2011-11-03
1891079091 Denise Adams Occupational Therapy Assistant 9217 S. Kedzie, Evergreen Park, IL 60805 2011-10-06
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225636475 Monika Sitko Nurse Practitioner 3 E 14th Pl, Lombard, IL 60148-4574 2020-10-10
1134735343 Michael Fitz Nurse Practitioner 6205 Westminster Ct, Springfield, IL 62711-6728 2020-09-22
1013521038 Eziaha R Georgewill Nurse Practitioner 17800 Kedzie Ave # A, Hazel Crest, IL 60429-2029 2020-09-08
1447870274 15 Park Place LLC Nurse Practitioner 15 Park Pl Ste 1, Swansea, IL 62226-2918 2020-04-22
1861021248 Elizabeth Horan Nurse Practitioner 125 S Green St Apt 1005a, Chicago, IL 60607-3717 2020-04-07
1699315697 Kelsey L Proehl Nurse Practitioner 70 Meadowview Ctr Ste 300, Kankakee, IL 60901-2062 2020-01-08
1992343248 Maryanne M Smith Nurse Practitioner 805 W Deyoung St Ste D, Marion, IL 62959-1602 2019-12-17
1730724451 Suzana None Nikitovic Nurse Practitioner 2815 Regner Rd, Mchenry, IL 60051-6942 2019-11-18
1104461870 Swanson Family Practice LLC Nurse Practitioner 733 N Logan Ave Ste 1, Danville, IL 61832-4378 2019-11-16
1205471083 Sylvia Coleman Nurse Practitioner 20 W Kinzie St Ste 17, Chicago, IL 60654-6393 2019-11-15
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Competitor

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City EVERGREEN PARK
Zip Code 60805

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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