Individual
MS. NATASHA MATTHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1029 BURNHAM AVE., CALUMET CITY, IL 60409-5140
(708) 515-2642
Mailing address
1029 BURNHAM AVE, CALUMET CITY, IL 60409-5140
(708) 515-2642
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
M32063475949
IL
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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