Provider Demographics
NPI:1427461474
Name:MATHEWS, TAMMYE (ND)
Entity type:Individual
Prefix:
First Name:TAMMYE
Middle Name:
Last Name:MATHEWS
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6200 S INGLESIDE AVE
Mailing Address - Street 2:UNIT 10B
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60637-2949
Mailing Address - Country:US
Mailing Address - Phone:312-714-0449
Mailing Address - Fax:
Practice Address - Street 1:6200 S INGLESIDE AVE
Practice Address - Street 2:UNIT 10B
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60637-2949
Practice Address - Country:US
Practice Address - Phone:312-714-0449
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-07
Last Update Date:2014-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath