Individual
MR. DAVID EDWARD MATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1810 HARLEM RD, LOVES PARK, IL 61111-2674
(815) 637-8908
(815) 637-8909
Mailing address
1810 HARLEM RD, LOVES PARK, IL 61111-2674
(815) 637-8908
(815) 637-8909
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
051-039847
IL
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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