DR. MATHEW SURESH PHILIP (NPI# 1124282082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124282082 |
| Entity Type | Individual |
| Full Name | DR. MATHEW SURESH PHILIP |
| Credential | M.D. |
| Practice Address |
150 E Willow Ave # 100 Wheaton IL 60187-5476 |
| Mailing Address |
1860 Paysphere Cir Chicago IL 60674-0018 |
| Practice Telephone | 6309462800 |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2018-04-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 036121401 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036121401 | 05 |
| Street Address |
150 E WILLOW AVE # 100 |
| City | WHEATON |
| State | IL |
| Zip Code | 60187-5476 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811510738 | Arielle Susan Kalvelage | Counselor | Central Public Health Center (cphc), 111 N. County Farm Road, Wheaton, IL 60187 | 2020-05-27 |
| 1801418363 | Peter Gerard Harvey | Acupuncturist | 200 East Willow Avenue, Suite 202, Wheaton, IL 60187 | 2020-05-07 |
| 1760028823 | Teresa Clasen | Counselor | 222 Willow Ave, Wheaton, IL 60187 | 2019-11-25 |
| 1821630757 | Eastern Healing Inc. | Acupuncturist | 200 E. Willow Ave., Suite 202, Wheaton, IL 60187 | 2019-10-11 |
| 1952816282 | Caprishea Jones | Counselor | 111 N County Farm Road, Wheaton, IL 60187 | 2017-12-08 |
| 1265880330 | Bryan Cairncross | Specialist/Technologist | 1503 Beecher Ave., Wheaton, IL 60187 | 2016-05-31 |
| 1811357544 | Patricia Diaz | Nurse Practitioner | 0n620 West Street, Wheaton, IL 60187 | 2016-02-23 |
| 1962819227 | Breakthrough Care Center | Clinic/Center | 150 E. Willow Ave, Ste 100, Wheaton, IL 60187 | 2014-07-18 |
| 1780005587 | Kyler Mulhauser | Counselor | 600 W. Roosevelt Rd, Suite A2, Wheaton, IL 60187 | 2013-12-20 |
| 1538593074 | Deborah Bates | Psychologist | 300 E Roosevelt Rd Ste 105, Wheaton, IL 60187 | 2013-08-31 |
| Find all providers in zip 60187 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295225522 | Platinum Homecare Md LLC | Internal Medicine | 1414 Taft Ave, Wheaton, IL 60189-6849 | 2018-05-11 |
| 1932533874 | Oommen A Koshy | Internal Medicine | 1648 S Prospect St, Wheaton, IL 60189-7756 | 2013-08-28 |
| 1053754242 | Donald Jeffery Ebalo | Internal Medicine | 25 W 740 Red Maple Lane, Wheaton, IL 60189 | 2013-04-08 |
| 1659665263 | Nisha Gupta | Internal Medicine | 310 S County Farm Rd Ste B, Wheaton, IL 60187-2409 | 2011-06-01 |
| 1134439748 | Mabel Koshy | Internal Medicine | 1648 S. Prospect St, Wheaton, IL 60189-7756 | 2010-10-15 |
| 1649309535 | Mohammad A Khalid Md PC | Internal Medicine | 12001 Ferrara Ave, Wheaton, MD 20906 | 2007-03-05 |
| 1316003833 | Adam David Stein | Internal Medicine | 7 Blanchard Cir Ste 202, Wheaton, IL 60189-2039 | 2006-12-29 |
| 1295817971 | Sonika Anand | Internal Medicine | 140 East Loop Road, Wheaton, IL 60189 | 2006-10-20 |
| 1730299298 | Rahul Gilotra | Internal Medicine | 12016 Georgia Avenue, Wheaton, MD 20902-2004 | 2006-08-30 |
| 1154343689 | Douglas A Ambler | Internal Medicine | 7 Blanchard Cir Ste 206, Wheaton, IL 60189-2039 | 2006-07-24 |
| Find all providers in WHEATON | ||||
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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.