Individual
DR. MATTHEW SCOTT HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2172 BLACKBERRY DR, SUITE 102, GENEVA, IL 60134-1102
(630) 262-1421
(630) 262-1401
Mailing address
2172 BLACKBERRY DR, SUITE 102, GENEVA, IL 60134-1102
(630) 262-1421
(630) 262-1401
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-009360
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
350051731
RAILROAD MEDICARE
—
Enumeration date
07/27/2006
Last updated
04/03/2014
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