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1568082659
MATTHEW JOHN MCKENNA
CHICAGO, IL
NPI
1568082659
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085007973)
Enumeration Date
2020-04-20
Last Update Date
2021-01-25
Business Address
MATTHEW JOHN MCKENNA PA-C
830 W DIVERSEY PKWY
CHICAGO, IL 60614-1454
Phone number: 773-248-4150
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Mailing Address
MATTHEW JOHN MCKENNA PA-C
830 W DIVERSEY PKWY
CHICAGO, IL 60614-1454
Phone number: 773-248-4150
Copy
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