Search › Illinois › 106S00000X
Sydney Mata
NPI 1023725470 · on the registry since 2022
Practice
- Address
- 3815 E. Main Street
Suite B
Saint Charles, IL 60174 - Phone
- (630) 584-7530
- Fax
- (630) 584-7762
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Also registered as
- 106S00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-11-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois