Tina M. Mattera, M.D.
Child & Adolescent Psychiatry · Lisle, IL
UnclaimedM.D.NPI 1952526345
- Primary taxonomy
- 2084P0804X
- Enumerated
- 2007-04-13
- Practice location
- Lisle, IL
- Last NPPES update
- 2009-09-29
State licenses
- IL · Physician · LICENSED PHYSICIAN AND SURGEONActivethrough 2029
- IL · Resident physician · TEMPORARY MEDICAL PERMITExpiredthrough 2000
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.