Shaju Mathew

Primary specialty

Certified Respiratory TherapistTaxonomy code 227800000X

Practice address

2217 Shannon CT
Darien, IL 60561-8457

Phone

(630) 985-3548

NPI assigned

Nov 8, 2006

Sex

Male

Sole proprietor

Yes

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)

Not 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.

• Edward Hines VA Hospital

  • Military Hospital
  • Darien, IL
  • NPI 1740320407
  NPD (past) Authorized official

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710057716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2217 SHANNON CT",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605618457",
            "telephone_number": "630-985-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 SHANNON CT",
            "city": "DARIEN",
            "state": "IL",
            "postal_code": "605618457",
            "telephone_number": "630-985-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "SHAJU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227800000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Marshall, LPC
• Martens Chiropractic and Acupuncture Center, S.C.
• Anna Maria Martusciello, D.C.
• Mohammed Amir Masood, PHARMD.
• Jaya Mathew
• Susan Mathew, PSY.D.
• Madison Mauss
• Jake McClintock
• Jayla Anna McGee
• Alexia McKeon, RBT

• Certified Respiratory Therapist in Darien, IL
• Providers in Darien, IL by specialty
• Certified Respiratory Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.