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Organization

MARSHALL I MATZ MD SC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARSHALL I MATZ M.D. (PRESIDENT)
(312) 332-2226
Entity
Organization

Contact information

Practice address
1431 N WESTERN AVE, SUITE 306, CHICAGO, IL 60622-1797
(312) 332-2226
(773) 276-1197
Mailing address
1431 N WESTERN AVE, SUITE 306, CHICAGO, IL 60622-1797
(312) 332-2226
(773) 276-1197

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary

Other

Enumeration date
03/18/2010
Last updated
03/18/2010
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