Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. HARSHIL MATTA, DO
ActiveDR. HARSHIL MATTA, DO is a Sports Medicine healthcare provider located in BERWYN, Illinois. NPI 1205396124 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine · BERWYN, IL
Registration Details
- NPI Number
- 1205396124
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 25, 2019 (7.3458650407584 yrs)
- Last Updated
- Oct 3, 2023
- Licenses
-
125.074250 (IL)319185 (NY)
Practice Information
- Address
-
3231 EUCLID AVE FL 5BERWYN, IL, 604024603Browse IL providers · Browse ZIP 60402
- Phone
- 7087832000
- Primary Specialty
-
Sports Medicine
207QS0010X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Sports Medicine
Other Sports Medicine Providers in BERWYN, IL
| Name | Credential | NPI |
|---|---|---|
| CHRISTOPHER GOZALI | — | 1598225773 |
| MEGAN ELIZABETH BRENNAN | MD | 1407433055 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.