Individual
MR. CHARLES MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
9343 S RIDGELAND AVE, CHICAGO, IL 60617-3637
(773) 221-9024
(773) 221-8006
Mailing address
9343 S RIDGELAND AVE, CHICAGO, IL 60617-3637
(773) 221-9024
(773) 221-8006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
Other
Enumeration date
03/12/2007
Last updated
07/08/2007
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