Individual
DR. MATTHEW THOMAS CLEMENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1318 CHICAGO AVE, EVANSTON, IL 60201-4725
(847) 478-4960
Mailing address
1318 CHICAGO AVE, EVANSTON, IL 60201-4725
(847) 478-4960
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038012884
IL
Other
Enumeration date
10/06/2015
Last updated
10/06/2015
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