Search › Illinois › 172A00000X
Mathis Sutherlin
NPI 1851034946 · on the registry since 2022 · sole proprietor
Practice
- Address
- 6611 S Champlain Ave
Chicago, IL 60637 - Phone
- (312) 709-7158
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-04-16
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