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

Matt Vatanatunyakum

Individual provider Family Nurse Practitioner · NPI 1821766221

Matt Vatanatunyakum is a Nurse Practitioner in Schaumburg, Illinois. Qualified in 2022, 4 years ago. Practices with The Board of Trustees of the University of Illinois, a 1,142-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2021
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Practice location Address checks out

519 S Roselle Rd
Schaumburg, IL 60193-2925
Phone: (847) 985-0600
Fax: (847) 985-3786
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5700 S Maryland Ave, Chicago, IL 60637-1426 — (888) 824-0200

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209025739 (IL)

Record details

NPI number1821766221
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 31, 2021
Last updated in NPPESNovember 17, 2022
Certification dateNovember 8, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice The Board Of Trustees Of The University Of Illinois — 1142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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