NPI 1306981345

Matthew Alan Goddard

Practitioner Orthotist Chicago, IL

Practice location

Address: 2515 N Clark St STE 802, Chicago, IL 60614-2730
Phone: (773) 327-3228
Fax: (773) 327-1054
Mailing address: 2740 N Pine Grove Ave APT 13c, Chicago, IL 60614-6103

Registered specialties

Orthotist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Registry record

NPI: 1306981345
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Feb 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.