Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Suja Mariam Mathew, MD

Individual provider Internal Medicine Physician · NPI 1457388340

Dr. Suja Mariam Mathew, MD is an Internal Medicine Physician in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1901 W Harrison St
Chicago, IL 60612-3714
Phone: (312) 864-4415
Fax: (773) 265-5300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036101804 (IL)

Record details

NPI number1457388340
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2006
Last updated in NPPESApril 27, 2021
Certification dateApril 27, 2021

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