Individual
DR. MATTHEW PALM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
18209 EULA MAE PKWY, CARLYLE, IL 62231-6407
(618) 594-3671
Mailing address
PO BOX 94, HOFFMAN, IL 62250-0094
(618) 218-3787
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-012517
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
038-012517
ILLINOIS LICENSE
IL
Enumeration date
10/25/2013
Last updated
10/25/2013
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