REJI THOMAS MATHEW (NPI# 1639332570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639332570 |
| Entity Type | Individual |
| Full Name | REJI THOMAS MATHEW |
| Credential | BDS, MDSC |
| Practice Address |
3450 Lacey Road Downers Grove IL 60515-6700 |
| Practice Telephone | 6307434967 |
| Mailing Telephone | 6307434967 |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2016-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0008X |
Dentist Specialization: Oral and Maxillofacial Radiology |
136000186 | IL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376742353 | Reji Mathew | Dentist | 6600 North Fwy Ste 109, Ft Worth, TX 76137-7556 | 2007-07-11 |
| 1730432642 | Reji P Mathew | Social Worker | 1201 Nw 16th St, Miami, FL 33125-1624 | 2012-10-17 |
| Street Address |
3450 LACEY ROAD |
| City | DOWNERS GROVE |
| State | IL |
| Zip Code | 60515-6700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740274661 | Rodney J Vergotine | Dentist | 3450 Lacey Road, Downers Grove, IL 60515-1441 | 2005-09-07 |
| 1184006439 | Ruchi Shah | Optometrist | 3450 Lacey Road, Downers Grove, IL 60515-5430 | 2015-06-23 |
| 1952718629 | Jingyuan Fan | Dentist | 3450 Lacey Road, Downers Grove, IL 60515-2668 | 2014-07-15 |
| 1407287568 | Melisa J Burton | Dentist | 3450 Lacey Road, Downers Grove, IL 60515-5430 | 2013-11-27 |
| 1386813822 | Patricia J Gibbons | Speech-Language Pathologist | 3450 Lacey Road, Downers Grove, IL 60515-1235 | 2008-02-28 |
| 1457532160 | Tina Kathaleen Veale | Speech-Language Pathologist | 3450 Lacey Road, Midwestern University Multispecialty Clinic, Downers Grove, IL 60515 | 2007-11-21 |
| 1841318326 | Angelina Susan Kula | Dentist | 3450 Lacey Road, Downers Grove, IL 60515-1217 | 2007-03-26 |
| 1245374917 | Kelli Christensen | Dentist | 3450 Lacey Road, Downers Grove, IL 60515-3328 | 2007-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
| 1588122568 | Jennifer Solis-english | Family Medicine | Physician Office Center, Tower 2, 3825 Highland Avenue Suite 306, Downers Grove, IL 60515 | 2019-03-07 |
| 1679039358 | Remedi Seniorcare of Chicago, LLC | Pharmacy | 3600 Lacey Road, Suite 500, Downers Grove, IL 60515 | 2019-02-18 |
| 1639651094 | Ann Marie Olson | Occupational Therapy Assistant | 3450 Saratoga Ave., Downers Grove, IL 60515 | 2018-09-02 |
| 1598242802 | Angela Gathings | Nurse Practitioner | 1020 31st St, Downers Grove, IL 60515 | 2018-07-20 |
| 1013408194 | Amer Shammaa | Dentist | 1008 Braemoor Dr, Downers Grove, IL 60515 | 2018-05-23 |
| 1174020994 | Leslie A Kula-leitner | Social Worker | Alder Grove Counseling, 4923 Main Street, Downers Grove, IL 60515 | 2018-04-09 |
| 1588176390 | Tammy Marie Tunac | Counselor | 2001 Butterfield Road, Suite 320, Downers Grove, IL 60515 | 2017-11-02 |
| 1366976466 | Giannasi Mental Health Counselors | Counselor | 921 Curtiss Street, Downers Grove, IL 60515 | 2017-04-14 |
| 1194258079 | Alyssa Stylski | Dentist | 2001 Butterfield Rd Ste 140, Downers Grove, IL 60515 | 2017-04-06 |
| Find all providers in zip 60515 | ||||
| Taxonomy Code | 1223X0008X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Radiology |
| The specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871950741 | Mitra Sadrameli | Dentist | 1201 S Prairie Ave Apt 4901, Chicago, IL 60605-3570 | 2016-01-24 |
| 1316241052 | Mahi Sophia Mehr | Dentist | 2620 N Halsted St, Chicago, IL 60614-7694 | 2011-01-10 |
| 1942653738 | Dental Diagnostic Imaging | Dentist | 1201 S Prairie Ave, 4901, Chicago, IL 60605-3325 | 2016-07-18 |
| 1629348081 | Maria Alejandra Mora | Dentist | 1629 S Prairie Ave, Chicago, IL 60616-4403 | 2012-01-03 |
| 1952438509 | Richard Monahan | Dentist | 2211 N Oak Park Ave, Shriners Hospital for Children, Chicago, IL 60707-3351 | 2007-02-28 |
| City | DOWNERS GROVE |
| Zip Code | 60515 |
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| 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.