Individual
DR. MATTHEW J SHEPARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2309 E EMPIRE ST STE 400, BLOOMINGTON, IL 61704-8902
(309) 585-0382
(309) 808-0692
Mailing address
2309 E EMPIRE ST STE 400, BLOOMINGTON, IL 61704-8902
(309) 585-0382
(309) 808-0692
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
038011982
IL
Other
Enumeration date
07/11/2011
Last updated
11/21/2011
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