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Individual

MR. MATTHEW J GUTH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
ATC

Contact information

Practice address
801 W KENSINGTON RD, MT PROSPECT, IL 60056-1112
(847) 718-5403
(847) 718-5404
Mailing address
622 N. GREEWOOD DRIVE, PALATINE, IL 60074
(847) 934-6449

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
IL

Other

Enumeration date
02/15/2006
Last updated
07/08/2007
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