Individual
MATTHEW KERR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
216 W JACKSON BLVD, CHICAGO, IL 60606-6909
(312) 216-2412
Mailing address
5820 N KENMORE AVE, CHICAGO, IL 60660-3765
(773) 456-2557
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
198.001053
IL
Other
Enumeration date
09/18/2017
Last updated
09/18/2017
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