Fidel Mata, P.A. is a medical physician assistant in Decatur, IL with 22 years of experience. Fidel Mata, P.A. NPI is 1558445924. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1770 E LAKE SHORE DR STE 105
DECATUR, IL
ZIP 62521-800
Phone: (217) 422-6100
Fax: (833) 784-5326
The NPI 1558445924 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 10/24/2006 and was last updated on 12/20/2021.