Most Relevant Information
Provider Data
| NPI Number: | 1003450644 |
| Provider Name: | MITCHELL MATTHEWS DC |
| Entity Type: | Individual |
| Taxonomy Code: | 111N00000X |
| Specialty: | Chiropractor |
| License Number: | 5261-12 |
Most Important Dates
| Enumeration Date: | 11/06/2019 |
| Last Updated: | 11/06/2019 |
Provider Practice Location
5305 S 108TH ST
HALES CORNERS
WI
531301332
Practice Location Phone/Fax
| Phone: | 4142359708 |
| Fax: |
Provider Mailing Location
2625 BUTTERFIELD RD STE 301N
OAK BROOK
IL
605231266
Provider Mailing Phone/Fax
| Phone: | 6304681824 |
| Fax: |