Matthew Edward Fowler

NPI #1164145942 in Wood Dale, Illinois

Provider Information

NPI Number: 1164145942
Entity Type: Individual
Name: Matthew Edward Fowler
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Sep 26, 2022
Last Updated: Feb 7, 2026

Practice Location

Address: 620 GEORGE ST
City: Wood Dale
State: Illinois
ZIP Code: 60191-1728
Phone: (315) 907-7651

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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