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Individual

DR. MATTHEW CHARLES FOUTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1901 W HARRISON ST, CHICAGO, IL 60612-3714
(312) 864-6000
Mailing address
4405 THORNBURY DR E, VALPARAISO, IN 46383-0808
(219) 241-5524

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01075496A
IN
207P00000X
Emergency Medicine Physician
Primary
125059641
IL

Other

Enumeration date
06/16/2011
Last updated
01/17/2025
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