Search › Illinois › 207Q00000X

Roderick Matticks, M.D

NPI 1265602452 · on the registry since 2008 · sole proprietor

Practice

Address
6309 Wind Tree Rd
Springfield, IL 62712
Phone
(217) 585-6666
Organisation at this address
Matticks Medcon Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
2

Registry record

Primary taxonomy
207Q00000X
207Q00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-07-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois