IndividualActive
Nikolas Mata-Machado, M.D.
NPI 1295056893 · Pediatric Neurodevelopmental Disabilities Physician · Chicago, IL
Provider details
- NPI number
- 1295056893
- Entity type
- Individual
- Primary specialty
- Pediatric Neurodevelopmental Disabilities PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 036131814 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
100 E 14th St Apt 801
Chicago, IL 60605-3666
Phone: (773) 569-1822
Approximate (ZIP-level) locationGet directions
Mailing address
100 E 14th St Apt 1202
Chicago, IL 60605-3671
Registry dates
- Enumerated
- 2010-06-17
- Last updated
- 2023-06-14
- Certified
- 2023-06-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.