Sarah Grace Matulis, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209010501 Issued in IL

Practice address

2740 W Foster Ave Ste 409
Chicago, IL 60625-3532

Phone

(773) 433-3862

Fax

(773) 433-3878

NPI assigned

Jul 18, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• MRH Corp.

  • Medicare Defined Swing Bed Hospital Unit
  • Dover Foxcroft, ME
  • NPI 1548463623
  NPD (past)

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374105600000",
    "number": "1568804599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6338 N CLARK ST APT 2F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606601260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 W FOSTER AVE STE 409",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606253532",
            "telephone_number": "773-433-3862",
            "fax_number": "773-433-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATULIS",
        "first_name": "SARAH",
        "middle_name": "GRACE",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-18",
        "last_updated": "2013-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209010501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brendan Erik Mattson, L.AC
• Bryan D. Mattson, OTR
• Christopher David Mattson, MD
• William V Mattson, BSRPH
• Paulette Matuk
• Larry James Maturin Jr., RN, APN, ACNS-BC
• Nina Elise Maturo, LCSW
• Diana Matusiak, CPNP-PC
• Deanna Marie Kattah Matusik, AU.D.
• Vanessa Matusin

• Family Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.