Search › Illinois › 101YA0400X
Matthew Gowder
NPI 1255206983 · on the registry since 2025 · sole proprietor
Practice
- Address
- 4400 S Calumet Ave Apt 3n
Chicago, IL 60653 - Phone
- (773) 780-9862
- Fax
- (773) 780-9862
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-10-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois