Provider Demographics
NPI:1700020302
Name:DUMSTORF, MATHEW FRANCIS (MD, MS)
Entity Type:Individual
Prefix:DR
First Name:MATHEW
Middle Name:FRANCIS
Last Name:DUMSTORF
Suffix:
Gender:M
Credentials:MD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2300 E DEVON AVE
Mailing Address - Street 2:SUITE 439
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60018-4696
Mailing Address - Country:US
Mailing Address - Phone:847-294-7491
Mailing Address - Fax:847-294-7808
Practice Address - Street 1:2300 E DEVON AVE
Practice Address - Street 2:SUITE 439
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60018-4696
Practice Address - Country:US
Practice Address - Phone:847-294-7491
Practice Address - Fax:847-294-7808
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-27
Last Update Date:2009-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.1109782083A0100X, 2083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083A0100XAllopathic & Osteopathic PhysiciansPreventive MedicineAerospace Medicine
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine