William V Mattson, BSRPH

Primary specialty

PharmacistTaxonomy code 183500000X

License

351-030054 Issued in IL

Practice address

3330 N Lincoln Ave
Chicago, IL 60657-1108

Phone

(773) 348-0027

NPI assigned

Sep 10, 2013

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

Other identifiers 1

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.

• N H Ballin Co Inc

  • Community/Retail Pharmacy
  • Chicago, IL
  • NPI 1356482087
  NPD (past) Authorized official

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1750716700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 S MEIER RD",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600562856",
            "telephone_number": "847-981-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571108",
            "telephone_number": "773-348-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTSON",
        "first_name": "WILLIAM",
        "middle_name": "V",
        "name_prefix": "Mr.",
        "credential": "BSRPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IL",
            "license": "351-030054",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHARMACIST LICENCE",
            "identifier": "051030054",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle N Mattli, DPT
• Jessica Mattox, PHARMD
• Brendan Erik Mattson, L.AC
• Bryan D. Mattson, OTR
• Christopher David Mattson, MD
• Paulette Matuk
• Sarah Grace Matulis, FNP-BC
• Larry James Maturin Jr., RN, APN, ACNS-BC
• Nina Elise Maturo, LCSW
• Diana Matusiak, CPNP-PC

• Pharmacist in Chicago, IL
• Providers in Chicago, IL by specialty
• Pharmacist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.