Individual
DR. MATHEW TOD LEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1340 CHARLES ST STE 100, ROCKFORD, IL 61104-2200
(779) 696-1900
(779) 696-8894
Mailing address
PO BOX 78866, MILWAUKEE, WI 53278-8866
(779) 696-7150
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036-142731
IL
207X00000X
Orthopaedic Surgery Physician
OT014261
PA
Other
Enumeration date
08/03/2011
Last updated
03/02/2021
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