Carlos Matos

NPI #1023425360 in Chicago, Illinois

Provider Information

NPI Number: 1023425360
Entity Type: Individual
Name: Carlos Matos
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Massage Therapist
Enumeration Date: Jul 18, 2014
Last Updated: Jul 18, 2014

Practice Location

Address: 5215 N RAVENSWOOD AVE
Address 2: SUITE 105
City: Chicago
State: Illinois
ZIP Code: 60640-1668
Phone: (773) 878-7330

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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