Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MATT WINDHAM JR.
Active Sole ProprietorMRS. MATT WINDHAM JR. is a Contractor healthcare provider located in CHICAGO, Illinois. NPI 1790886398 is currently active in the NPPES registry. Verify at CMS.
Contractor · CHICAGO, IL
Registration Details
- NPI Number
- 1790886398
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 26, 2006 (19.848141194555 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
2056 E 71ST STCHICAGO, IL, 606492117Browse IL providers · Browse ZIP 60649
- Phone
- 7732882844
- Fax
- 7732882848
- Primary Specialty
-
Contractor
171W00000X
Other Contractor Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| MR. SANDY A. KRUM | ATC/L | 1063485738 |
| VICTOR M MARTINEZ | C.PED | 1316978760 |
| KAREN LOVEJOY-DAVIS | — | 1508991894 |
| MR. SCOTT J OLSON | COTA | 1336270966 |
| MR. BENJAMIN STUART GOLDHIRSH | — | 1770768442 |
| MR. AUBREY BROWN SR. | — | 1073790473 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.