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

Shanta D. Mattai

Individual provider Neurology Physician · NPI 1609974096

Shanta D. Mattai is a Neurology Physician in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2006.

Licensed in
IL
In the registry since
2006

Practice location Address checks out

100 NE Randolph Ave
Peoria, IL 61606-1919
Phone: (309) 624-8500
Fax: (309) 655-8552
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X (IL)

Record details

NPI number1609974096
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESJuly 14, 2007
Mailing address100 Ne Randolph Ave, Peoria, IL 61606-1919

Other providers in Peoria