Individual
JONATHAN MATTHEW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
U
Credential
LSW
Contact information
Practice address
3166 N LINCOLN AVE STE 400B, CHICAGO, IL 60657-3174
(312) 529-8415
Mailing address
901 W ASPEN CT, PALATINE, IL 60067-0712
(847) 830-1773
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150.11384
IL
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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