Individual provider Active NPI

Mathew Francis Dumstorf, M.D., M.S.

  • Aerospace Medicine Physician
  • Des Plaines, IL
National Provider Identifier
1700020302
Registry record updated Apr 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Aerospace Medicine PhysicianTaxonomy code 2083A0100X
License
036.110978 Issued in IL
Practice address
2300 E Devon Ave
Suite 439
Des Plaines, IL 60018-4696
Phone
(847) 294-7491
Fax
(847) 294-7808
NPI assigned
Apr 27, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Aerospace Medicine Physician 2083A0100X 036.110978 IL Primary
Occupational Medicine Physician 2083X0100X 036.110978 IL

Addresses

Primary practice location

2300 E Devon Ave
Suite 439
Des Plaines, IL 60018-4696

Mailing address

2300 E Devon Ave
Suite 439
Des Plaines, IL 60018-4696
Phone (847) 294-7491

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine, Master of Science

State licenses

LicenseStateTypeSpecialty
036.110978ILMDOccupational Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240790400000",
    "number": "1700020302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 E DEVON AVE",
            "address_2": "SUITE 439",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600184696",
            "telephone_number": "847-294-7491",
            "fax_number": "847-294-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 E DEVON AVE",
            "address_2": "SUITE 439",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600184696",
            "telephone_number": "847-294-7491",
            "fax_number": "847-294-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMSTORF",
        "first_name": "MATHEW",
        "middle_name": "FRANCIS",
        "name_prefix": "Dr.",
        "credential": "M.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-27",
        "last_updated": "2009-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "IL",
            "license": "036.110978",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "IL",
            "license": "036.110978",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; 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.