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

Merrin Mathew

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1275997652

Merrin Mathew is an Emergency Medicine in Hazel Crest, Illinois. Graduated from Nova Southeastern College of Osteo Medicine in 2016, 10 years ago. Practices with Ies Carrollton PLLC, a 5-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Trained at
Nova Southeastern College of Osteo Medicine
Licensed in
IL
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

17800 Kedzie Ave
Hazel Crest, IL 60429-2029
Phone: (708) 213-4200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036153127 (IL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1275997652
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 11, 2016
Last updated in NPPESApril 29, 2022
Certification dateApril 29, 2022
Mailing address29373 Network Pl, Chicago, IL 60673-1293

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolNOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Graduated 2016 (10 years in practice)
Group practice Ies Carrollton Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hazel Crest