SearchIllinois225100000X

Matthew Primack, DPT

NPI 1336262658 · on the registry since 2007 · sole proprietor

Practice

Address
1435 W Altgeld St
Chicago, IL 60614
Phone
(773) 865-6288
Fax
(847) 634-2274

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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