Individual
MATTHEW RODRIDGO ENDARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
823 N 129TH INFANTRY DR, JOLIET, IL 60435-8346
(815) 729-9527
Mailing address
5623 N NEWCASTLE AVE, CHICAGO, IL 60631-3145
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
036.134420
IL
Other
Enumeration date
06/23/2008
Last updated
06/19/2014
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