Provider Demographics
NPI:1538187687
Name:MATTHEWS, LOUISE SUZANNE (MD)
Entity type:Individual
Prefix:DR
First Name:LOUISE
Middle Name:SUZANNE
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:LOUISE
Other - Middle Name:MATTHEWS
Other - Last Name:FLICKINGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:2650 RIDGE AVE # 1223
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60201-1700
Mailing Address - Country:US
Mailing Address - Phone:847-570-2222
Mailing Address - Fax:847-570-2898
Practice Address - Street 1:2650 RIDGE AVE # 1223
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60201-1700
Practice Address - Country:US
Practice Address - Phone:847-570-2222
Practice Address - Fax:847-570-2898
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036103964207V00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology