Search › Illinois › 172A00000X
Matt Pina
NPI 1932671625 · on the registry since 2018 · sole proprietor
Practice
- Address
- 2027 Casey Ave
Mount Vernon, IL 62864 - Phone
- (740) 770-7096
Registry record
- Primary taxonomy
- 172A00000X
172A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2018-12-19
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