Provider Demographics
NPI:1003025248
Name:NEU, MATTHEW THOMAS (MD)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:THOMAS
Last Name:NEU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:325 ROUTE 31
Mailing Address - Street 2:CATERPILLAR INC, MEDICAL DIVISION
Mailing Address - City:MONTGOMERY
Mailing Address - State:IL
Mailing Address - Zip Code:60538
Mailing Address - Country:US
Mailing Address - Phone:630-859-5023
Mailing Address - Fax:630-859-6055
Practice Address - Street 1:325 ROUTE 31
Practice Address - Street 2:CATERPILLAR INC, MEDICAL DIVISION
Practice Address - City:MONTGOMERY
Practice Address - State:IL
Practice Address - Zip Code:60538
Practice Address - Country:US
Practice Address - Phone:630-859-5023
Practice Address - Fax:630-859-6055
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL36-0520852083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine