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1265602452
RODERICK L MATTICKS
SPRINGFIELD, IL
NPI
1265602452
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036080098)
Enumeration Date
2008-03-04
Last Update Date
2014-07-15
Business Address
Dr. RODERICK L MATTICKS M.D.
6309 WIND TREE RD
SPRINGFIELD, IL 62712-3738
Phone number: 217-585-6666
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Mailing Address
Dr. RODERICK L MATTICKS M.D.
6309 WIND TREE RD
SPRINGFIELD, IL 62712-3738
Phone number:
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