MATTHEW ALAN GODDARD

CHICAGO, IL
NPI1306981345
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy222Z00000X Orthotist
Enumeration Date2007-02-20
Last Update Date2007-07-08
Business Address
Mr. MATTHEW ALAN GODDARD
2515 N CLARK ST STE 802
CHICAGO, IL 60614-2730
Phone number: 773-327-3228
Mailing Address
Mr. MATTHEW ALAN GODDARD
2740 N PINE GROVE AVE APT 13C
CHICAGO, IL 60614-6103
Phone number: 773-327-3228
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