Individual
MATTHEW GREGORY HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1118 HAMPSHIRE ST, QUINCY, IL 62301-3027
(217) 222-6550
Mailing address
1118 HAMPSHIRE ST, QUINCY, IL 62301-3027
(217) 222-6550
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085011276
IL
Other
Enumeration date
09/18/2018
Last updated
07/02/2025
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