Organization
MATTICKS MEDCON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA MATTICKS (OWNER)
(217) 899-7524
Entity
Organization
Contact information
Practice address
6309 WIND TREE RD, SPRINGFIELD, IL 62712-3738
(217) 899-7524
(217) 529-9514
Mailing address
6309 WIND TREE RD, SPRINGFIELD, IL 62712-3738
(217) 899-7524
(217) 529-9514
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
06/10/2006
Last updated
08/22/2020
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