Individual provider Active NPI

Matthew Daniel Dube, M.D.

  • Emergency Medicine Physician
  • Evanston, IL
National Provider Identifier
1710125976
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036124947 Issued in IL
Practice address
2650 Ridge Ave
Evanston, IL 60201-1700
Phone
(847) 570-2000
NPI assigned
Jan 27, 2009
Last updated
Jun 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X 036124947 IL
Emergency Medicine Physician 207P00000X 036124947 IL Primary
Emergency Medicine Physician 207P00000X 73971 WI
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 036124947 IL

Addresses

Primary practice location

2650 Ridge Ave
Evanston, IL 60201-1700

Mailing address

4711 Golf Rd Ste 900
Skokie, IL 60076-1247
Phone (773) 383-2042

Other practice location 1

4711 Golf Rd Ste 900
Skokie, IL 60076-1247
Phone (346) 738-9600

Other practice location 2

8303 Southwest Fwy Ste 111
Houston, TX 77074-1638
Phone (346) 738-9600

Other practice location 3

1 Kish Hospital Dr
Dekalb, IL 60115-9602
Phone (815) 756-1521

Other practice location 4

1900 Hollister Dr Ste 210
Libertyville, IL 60048-5284
Phone (847) 324-6800

Other practice location 5

8720 Alameda Ave Ste B
El Paso, TX 79907-6275
Phone (346) 738-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN, WI, TX4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20110608000525 IL Practitioner - Emergency Medicine 4789861303 Reassigns benefits to 3 organizations
I20140430002567 IN Practitioner - Emergency Medicine 4789861303 Reassigns benefits to 2 organizations
I20201008001201 WI Practitioner - Emergency Medicine 4789861303 Reassigns benefits to 2 organizations
I20250423000281 TX Practitioner - Emergency Medicine 4789861303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
R Franklin University of Med & Sci/Chicago Medical School, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medfuse Illinois PLLCGroup PAC ID 7113369745, 2 clinicians

Practice addresses (Care Compare)

4711 Golf Rd
Suite 900
Skokie, IL 60076-1247
Phone (208) 640-6096

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
125052864ILMDEmergency Medicine Physician
73971WIMDEmergency Medicine Physician
036124947ILMDInfusion Therapy Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. Single Specialty CurrentSince Jul 7, 2022 Accepting new patients
Endeavor Health Medical Group Single Specialty CurrentSince Jul 1, 2011 Accepting new patients
Endeavor Health Medical Group Single Specialty CurrentSince Jul 1, 2011 Accepting new patients
Medfuse Illinois PLLC Single Specialty CurrentSince Apr 1, 2024 Accepting new patients
Vital Link Physician Group Indiana Single Specialty CurrentSince Jan 5, 2026 Accepting new patients
Froedtert &the Medical College of Wisconsin Community Physicians, Inc. Single Specialty CurrentSince Jul 7, 2022 Accepting new patients
Vital Link Physician Group PLLC Single Specialty CurrentSince Mar 1, 2025 Accepting new patients
The Medical College of Wisconsin, Inc. Single Specialty CurrentSince Aug 25, 2020 Accepting new patients
Medfuse Texas PLLC Single Specialty CurrentSince Jan 30, 2025 Accepting new patients
Lafayette Emergency Physicians, Inc Single Specialty CurrentSince Mar 18, 2014 Accepting new patients
Medfuse Illinois PLLC Infusion Therapy Current Accepting new patients
Medfuse Texas PLLC Infusion Therapy PastSince Jan 30, 2025 Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

49 S Waukegan Rd
Ste 200
Deerfield, IL 60015
Phone (847) 945-4575

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

1900 Hollister Dr
Ste 210
Libertyville, IL 60048
Phone (847) 324-6800

6201 W Howard St
Ste 207
Niles, IL 60714
Phone (786) 897-7407

4711 Golf Rd
Ste 900
Skokie, IL 60076
Phone (443) 414-8201

2605 N Lebanon St
Lebanon, IN 46052
Phone (765) 485-8000

123 S McKinley Ave
Rensselaer, IN 47978
Phone (219) 866-1890

8303 Southwest Fwy
Ste 111
Houston, TX 77074
Phone (208) 640-6096

W168N11237 Western Ave
Germantown, WI 53022
Phone (262) 253-5060

N74W12501 Leatherwood Ct
Menomonee Falls, WI 53051
Phone (414) 454-4744

1155 N Mayfair Rd
Wauwatosa, WI 53226
Phone (414) 955-5990

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000

Interoperability endpoints

  • Direct secure messaging: mdube399557@direct.froedtert.com

Organizations & group practices 12

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1710125976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 GOLF RD STE 900",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761247",
            "telephone_number": "773-383-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011700",
            "telephone_number": "847-570-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4711 Golf Rd Ste 900",
            "address_purpose": "LOCATION",
            "city": "Skokie",
            "state": "IL",
            "postal_code": "600761247",
            "country_code": "US",
            "telephone_number": "346-738-9600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8303 Southwest Fwy Ste 111",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770741638",
            "country_code": "US",
            "telephone_number": "346-738-9600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Kish Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Dekalb",
            "state": "IL",
            "postal_code": "601159602",
            "country_code": "US",
            "telephone_number": "815-756-1521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 Hollister Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Libertyville",
            "state": "IL",
            "postal_code": "600485284",
            "country_code": "US",
            "telephone_number": "847-324-6800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8720 Alameda Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799076275",
            "country_code": "US",
            "telephone_number": "346-738-9600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUBE",
        "first_name": "MATTHEW",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-27",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "IL",
            "license": "036124947",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036124947",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "73971",
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "IL",
            "license": "036124947",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.