| Carlos Matos, | |
|
5215 N Ravenswood Ave, Suite 105, Chicago, IL 60640-1668 | |
| (773) 878-7330 | |
| Not Available |
| Full Name | Carlos Matos |
|---|---|
| Gender | Male |
| Speciality | Massage Therapist |
| Location | 5215 N Ravenswood Ave, Chicago, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023425360 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225700000X | Massage Therapist | 227008631 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Carlos Matos, 5022 N Parkside Ave, Chicago, IL 60630-4633 Ph: () - | Carlos Matos, 5215 N Ravenswood Ave, Suite 105, Chicago, IL 60640-1668 Ph: (773) 878-7330 |
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