Individual
MATTHEW MAURICE GOWDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4400 S CALUMET AVE APT 3N, CHICAGO, IL 60653-3869
(773) 780-9862
(773) 780-9862
Mailing address
4400 S CALUMET AVE APT 3N, CHICAGO, IL 60653-3869
(773) 780-9862
(773) 780-9862
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37752
IL
Other
Enumeration date
10/10/2025
Last updated
10/10/2025
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