FIDEL MATA, P.A.
Medical Practice at Lake Shore Dr, Decatur, IL

License number
Illinois 085-002235
Category
Nursing
Type
Medical
Address
Address
1800 E Lake Shore Dr, Decatur, IL 62521
Phone
(217) 422-6100
(217) 422-3217 (Fax)
National Provider ID: 1558445924
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Professional information

Fidel Mata Photo 1

Fidel Mata, Decatur IL - PA (Physician assistant; also Posterior–anterior)
Specialties:
Physician Assistant (PA)
Address:
1800 E Lake Shore Dr, Decatur 62521
(217) 422-6100 (Phone), (217) 422-3217 (Fax)
Languages:
English
Hospitals:
1800 E Lake Shore Dr, Decatur 62521
Decatur Memorial Hospital
2300 North Edward St, Decatur 62526

Fidel Mata Photo 2

Fidel Mata, Decatur IL
Specialties:
Physician Assistant
Address:
2300 N Edward St, Decatur, IL 62526
1800 E Lake Shore Dr, Decatur, IL 62521

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