FIDEL MATA, P.A.

P.A.

Medical Physician Assistant

NPI: 1558445924IndividualAccepts Medicare

Specialties, Licenses & Credentials

Cardiovascular Disease Physician

Internal Medicine — Cardiovascular Disease

Code: 207RC0000X

085.002235(IL)

Medical Physician AssistantPrimary

Physician Assistant — Medical

Code: 363AM0700X

085-002235(IL)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2002

Request Appointment

Contact & Hours

Address: 1770 E LAKE SHORE DR STE 105
DECATUR, IL 62521
Phone: (217) 422-6100

Locations (2)

Practice Location

1770 E LAKE SHORE DR STE 105, DECATUR, IL

Practice Location

1800 E LAKE SHORE DR, DECATUR, IL

Quick Facts

NPI: 1558445924
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 2
Locations: 2
Years in Practice: 24

Are you this provider?

Claim Your Profile