Black, Matthew

Black, Matthew is an sole proprietor health care provider with primary practice located at 676 N Saint Clair St Fl 19 , Chicago IL 60611-2927. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Black, Matthew can be contacted via phone (312) 695-8900.

Contact Information

Primary practice address
676 N Saint Clair St Fl 19 Chicago IL 60611-2927
Phone: (312) 695-8900
Fax: (312) 695-7752
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Surgery 208600000X 036155268 Illinois

Profile Details

NPI number 1518313824
LBN Legal business name Black, Matthew
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2016
Last updated Aug 27th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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