Individual
KOJIRO MATSUMOTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1436 DEERFIELD RD, DEERFIELD, IL 60015-2758
(312) 731-0331
Mailing address
1436 DEERFIELD RD, DEERFIELD, IL 60015-2758
(312) 731-0331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
125-057080
IL
Other
Enumeration date
07/10/2009
Last updated
07/20/2020
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