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Individual

MATTHEW J GOVEDNIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
300 E MAZON AVE, DWIGHT, IL 60420-1104
(815) 584-1240
Mailing address
945 W BERGERA RD, BRAIDWOOD, IL 60408-1657
(815) 302-0101

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.008221
IL

Other

Enumeration date
02/05/2019
Last updated
02/05/2019
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