Provider Demographics
NPI:1427816891
Name:AWAD, MATTHEW (MD)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:
Last Name:AWAD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:675 NORTH SAINT CLAIR ST
Mailing Address - Street 2:GALTER PAVILION, 15 TH FLOOR, ROOM 20
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60611-5975
Mailing Address - Country:US
Mailing Address - Phone:312-695-8182
Mailing Address - Fax:312-695-4303
Practice Address - Street 1:675 NORTH SAINT CLAIR ST
Practice Address - Street 2:GALTER PAVILION, 15 TH FLOOR, ROOM 20
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60611-5975
Practice Address - Country:US
Practice Address - Phone:312-695-8182
Practice Address - Fax:312-695-4303
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-11
Last Update Date:2025-06-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL125085620207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology