Provider Demographics
NPI:1912886268
Name:MATUS, RENEE MARIE (MSW, MED, LSW, PEL)
Entity type:Individual
Prefix:
First Name:RENEE
Middle Name:MARIE
Last Name:MATUS
Suffix:
Gender:F
Credentials:MSW, MED, LSW, PEL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10665 YANKEE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:IL
Mailing Address - Zip Code:60423-2215
Mailing Address - Country:US
Mailing Address - Phone:331-401-3711
Mailing Address - Fax:
Practice Address - Street 1:305 N VINE ST UNIT 201
Practice Address - Street 2:
Practice Address - City:NEW LENOX
Practice Address - State:IL
Practice Address - Zip Code:60451-1652
Practice Address - Country:US
Practice Address - Phone:815-320-3749
Practice Address - Fax:815-320-3825
Is Sole Proprietor?:No
Enumeration Date:2025-08-30
Last Update Date:2025-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150.117882104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker