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Specialty details in registry · Matteson, IL

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At a glance

5909 Allemong Dr, Matteson, IL 60443-1001

NPPES record updated Mar 24, 2014. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

5909 Allemong Dr
Matteson, IL 60443-1001
Professional details: NPI, taxonomy & registry record
NPI1730506221
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
251E00000X
Enumeration date
Mar 24, 2014
Record updated
Mar 24, 2014
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

251E00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

5909 Allemong Dr
Matteson, IL 60443-1001
Phone
(708) 890-5799
Fax
(708) 898-1662
Mailing address
5909 ALLEMONG DR

MATTESON, IL 604431001
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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