SearchIllinoisStudent in an Organized Health Care Education/Training Program

Mohit Mathavan, MD

NPI 1629770383 · on the registry since 2023

Practice

Address
612 N 11th St
Quincy, IL 62301
Phone
(217) 224-9484
Fax
(217) 224-7950
Organisation at this address
Siu Healthcare
Siuphysicians & Surgeons, Inc.
Board Of Trustees Of Southern Illinois University
Board Of Trustees Of Southern Illinois University
Inferred from a shared address, not stated in the registry.
Clinicians at this address
88

Registry record

Primary taxonomy
Student in an Organized Health Care Education/Training Program
390200000X
Also registered as
Family Medicine Physician
Sports Medicine (Family Medicine) Physician
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-13

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