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Individual

MATTHEW CARBON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAT, ATC

Contact information

Practice address
4436 MAIN ST, DOWNERS GROVE, IL 60515-2867
(630) 795-8400
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(877) 284-5384

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096005704
IL

Other

Enumeration date
11/27/2023
Last updated
11/27/2023
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