Healthcare Provider Details

I. General information

NPI: 1013176684
Provider Name (Legal Business Name): MATTHEW LOWELL KIRCHER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/08/2008
Last Update Date: 04/29/2021
Certification Date: 04/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2160 S 1ST AVE
MAYWOOD IL
60153-3328
US

IV. Provider business mailing address

1525 S SANGAMON ST UNIT 612
CHICAGO IL
60608-2241
US

V. Phone/Fax

Practice location:
  • Phone: 708-216-1676
  • Fax:
Mailing address:
  • Phone: 312-405-0086
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number036132891
License Number StateIL
# 2
Primary TaxonomyN
Taxonomy Code207YX0901X
TaxonomyOtology & Neurotology Physician
License Number036132891
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: