Individual
MATTHEW VIEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
820 S WOOD ST, CHICAGO, IL 60612-4325
(312) 996-2933
Mailing address
611 S WELLS ST APT 1105, CHICAGO, IL 60607-4786
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
125.081922
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2023
Last updated
08/02/2023
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