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Individual

DR. MATTHEW SCOTT ABELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
800 E CARPENTER ST, SPRINGFIELD, IL 62769-3522
(217) 544-6464
Mailing address
111 OAKWOOD RD, EAST PEORIA, IL 61611-1853
(309) 740-4272

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036-142188
IL
2085R0202X
Diagnostic Radiology Physician
66767
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1568726826
WI
Enumeration date
07/01/2012
Last updated
01/23/2024
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