Larry James Maturin Jr., RN, APN, ACNS-BC

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

License

209.010006 Issued in IL

Practice address

990 W Fullerton Ave
Chicago, IL 60614-2458

Phone

(815) 603-6212

NPI assigned

May 27, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1464307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464307200000",
    "number": "1013365360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3704 HARMS RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604359046",
            "telephone_number": "815-603-6212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142458",
            "telephone_number": "815-603-6212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATURIN",
        "first_name": "LARRY",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RN, APN, ACNS-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-27",
        "last_updated": "2016-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "IL",
            "license": "041.323524",
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "IL",
            "license": "209.010006",
            "primary": true
        },
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "IL",
            "license": "209.010006",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan D. Mattson, OTR
• Christopher David Mattson, MD
• William V Mattson, BSRPH
• Paulette Matuk
• Sarah Grace Matulis, FNP-BC
• Nina Elise Maturo, LCSW
• Diana Matusiak, CPNP-PC
• Deanna Marie Kattah Matusik, AU.D.
• Vanessa Matusin
• Meagan Matuska

• Clinical Nurse Specialist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Nurse Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.