Individual
DR. ALAN HOWARD MATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
77 N AIRLITE ST, ELGIN, IL 60123-4912
(847) 931-5694
Mailing address
1121 LAKE COOK RD STE M, DEERFIELD, IL 60015-5234
(847) 945-4550
(847) 948-8103
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01067590A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
036-095385
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01067590A
STATE LICENSE
IN
01
—
036095385
STATE LICENSE #
IL
05
—
036095385
—
IL
01
—
1620188
BC/BS
IL
05
—
200971740A
—
IN
Enumeration date
09/27/2006
Last updated
03/07/2023
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