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General NPI Number Information
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NPI Number | 1144475435
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Entity Type | Individual
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Provider Name | MATTHEW CO D.O.
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Gender | Male
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Dates
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Enumeration Date | 12/01/2008
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 9650 GROSS POINT RD
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City | SKOKIE
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State | IL
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Zip | 60076-1214
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Country | US
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Telephone | 847-503-4249
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Fax |
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Provider Business Mailing Address
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Address Line | 2180 PFINGSTEN RD
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City | GLENVIEW
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State | IL
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Zip | 60026-1339
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Country | US
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Telephone | 847-503-4249
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 036133384
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 036133384
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License Number State | IL
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