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Individual

DR. MATTHEW D. MCCORMICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
326 W 64TH ST, CHICAGO, IL 60621-3114
(773) 962-3900
(630) 734-1560
Mailing address
326 W 64TH ST, CHICAGO, IL 60621-3114
(773) 962-3900
(630) 734-1560

Taxonomy

Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
036-119922
IL

Other

Enumeration date
07/07/2008
Last updated
07/07/2008
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