| Rodrigo A Mata Jr, MD | |
|
6123 Green Bay Rd, Suite 120, Kenosha, WI 53142-2927 | |
| (262) 652-6995 | |
| (262) 652-1370 |
| Full Name | Rodrigo A Mata Jr |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 6123 Green Bay Rd, Kenosha, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104127372 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 22023-20 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Rodrigo A Mata Jr, MD 6123 Green Bay Rd, Suite 120, Kenosha, WI 53142-2927 Ph: (262) 652-6995 | Rodrigo A Mata Jr, MD 6123 Green Bay Rd, Suite 120, Kenosha, WI 53142-2927 Ph: (262) 652-6995 |
Ali J Kilic, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1020 35th St, Kenosha, WI 53140 Phone: 262-652-3500 Fax: 262-997-0113 | |
Dragos G Nanul, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6308 8th Avenue, Suite 2000, Kenosha, WI 53143 Phone: 262-653-5300 Fax: 262-653-5412 | |
Dr. Paul V Capelli, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-7010 Fax: 262-948-7328 | |
Dr. Charles Santilukka, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 35th St, Suite 160, Kenosha, WI 53140 Phone: 262-652-3500 | |
Priti J Patel, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Aurora Health Care, Kenosha, WI 53142 Phone: 262-948-7000 | |
Dr. Vincent M Rizzo, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10400 75th St, Kenosha, WI 53142 Phone: 262-948-7080 Fax: 262-948-6818 |