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

Matthew Oldenburg

Individual provider Emergency Medical Services (Emergency Medicine) Physician · NPI 1164272142

Matthew Oldenburg is an Emergency Medical Services (Emergency Medicine) Physician in Bloomington, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2024

Practice location Address checks out

14880 Old Colonial Rd
Bloomington, IL 61705-5981
Phone: (309) 828-4641
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medical Services (Emergency Medicine) Physician (primary) Taxonomy 207PE0004X · Licence 001082825 (IL)

Record details

NPI number1164272142
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 25, 2024
Last updated in NPPESMarch 25, 2024
Certification dateMarch 24, 2024
Mailing address15817 Old Orchard Rd, Bloomington, IL 61705-5524

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