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Individual
DR. MATTHEW PALM
Active
Individual
DR. MATTHEW PALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-012517
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038-012517
ILLINOIS LICENSE
IL
Enumeration date
10/25/2013
Last updated
10/25/2013
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