Individual
MATTHEW EDWARD FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
620 GEORGE ST, WOOD DALE, IL 60191-1728
(315) 907-7651
Mailing address
620 GEORGE ST, WOOD DALE, IL 60191-1728
(315) 907-7651
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
09/26/2022
Last updated
02/07/2026
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