Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Matthew Owen Siuta

Individual provider Pharmacist · NPI 1659648368

Dr. Matthew Owen Siuta is a Pharmacist in Champaign, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2011
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Practice location Address checks out

3114 Vlg Ofc PL
Champaign, IL 61822-7680
Phone: (217) 378-4807
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence 051.295392 (IL)

Record details

NPI number1659648368
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 23, 2011
Last updated in NPPESNovember 23, 2011

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