Odenwald, Matthew August

Odenwald, Matthew August is an individual health care provider with primary practice located at 5841 S Maryland Ave Ste Mc7082 , Chicago IL 60637-1465. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Odenwald, Matthew August can be contacted via phone (773) 795-0232.

Contact Information

Primary practice address
5841 S Maryland Ave Ste Mc7082 Chicago IL 60637-1465
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 036.165750 Illinois

Profile Details

NPI number 1720517816
LBN Legal business name Odenwald, Matthew August
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2017
Last updated Aug 10th, 2023 - about 3 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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