Vetticalayil Mathew

Primary specialty

Certified Respiratory TherapistTaxonomy code 227800000X

Practice address

1123 Adler LN
Carol Stream, IL 60188-1333

Phone

(630) 653-9267

NPI assigned

Dec 12, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942361266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 ADLER LN",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601881333",
            "telephone_number": "630-653-9267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 ADLER LN",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601881333",
            "telephone_number": "630-653-9267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATHEW",
        "first_name": "VETTICALAYIL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "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": []
}

• Shannon Malahy, ATC
• Agnieszka Markowska
• Jessica Lee Marshall, PSY.D.
• Ana Martinez, RDN
• Janie Lyn Mata, PT
• Marcus Christian Matundan, OTR/L
• Thida Maw I, MD
• Hannah McCarrell
• Elissa McGovern
• Augusta J McNeary

• Certified Respiratory Therapist in Carol Stream, IL
• Providers in Carol Stream, 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.