MRS. MATT WINDHAM JR.

Contractor

Active Individual
NPI: 1790886398

Practice Address

2056 E 71ST ST
Chicago, IL 60649

Phone: (773) 288-2844

Specialties

Specialty Code Primary License
Contractor 171W00000X Yes -

Frequently Asked Questions

NPI 1790886398 is the National Provider Identifier for MRS. MATT WINDHAM JR., a Contractor provider located in Chicago, IL. This NPI was enumerated on September 26, 2006.
MRS. MATT WINDHAM JR. practices at 2056 E 71ST ST, Chicago, IL 60649.

Quick Facts

NPI
1790886398
Type
Individual
Enumerated
Sep 26, 2006
Last Updated
Jul 8, 2007

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