IndividualActive
Harshil Matta, DO
NPI 1205396124 · Sports Medicine (Family Medicine) Physician · Berwyn, IL
Provider details
- NPI number
- 1205396124
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- 125.074250 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Practice location
3231 Euclid Ave Fl 5
Berwyn, IL 60402-4603
Phone: (708) 783-2000
Approximate (ZIP-level) locationGet directions
Mailing address
3249 Oak Park Ave
Berwyn, IL 60402-3429
Registry dates
- Enumerated
- 2019-03-25
- Last updated
- 2023-10-03
- Certified
- 2023-10-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.