Virgil Matthews

NPI #1053157388 in Homewood, Illinois

Provider Information

NPI Number: 1053157388
Entity Type: Individual
Name: Virgil Matthews
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Behavior Technician
Enumeration Date: Jul 5, 2024
Last Updated: Jul 5, 2024

Practice Location

Address: 19150 KEDZIE AVE STE 208
City: Homewood
State: Illinois
ZIP Code: 60430-4541
Phone: (312) 478-8467

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Behavior Technician	106S00000X	Primary

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