Individual
COLIN MATTIACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
500 N KINGSBURY ST, EAST BANK CLUB, CHICAGO, IL 60610-4021
(312) 527-5801
(312) 644-4567
Mailing address
500 N KINGSBURY ST, CHICAGO, IL 60610-4021
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
IL
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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