Individual
GUY W MATTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
150 N RIVER RD, STE 220, DES PLAINES, IL 60016-1272
(847) 487-2827
(847) 487-2860
Mailing address
150 N RIVER RD, SUITE 220, DES PLAINES, IL 60016-1272
(847) 487-2827
(847) 487-2860
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016003633
IL
Other
Enumeration date
06/28/2005
Last updated
05/23/2013
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