Doctor Name: | DR. MATTHEW RYAN GREENBERG |
NPI Number: | 1003927914 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.C. |
License Number: | 038-010326 |
Business Practice Address: | 11605 Catalpa Ln Woodstock, IL - 600986923 |
Business Phone Number: | 8153374417 |
Business Fax Number: | 8153374809 |
Mailing Address: | Po Box 5977, Dept 20-3038 CAROL STREAM |
State: | IL |
Postal Code: | 601975977 |
Phone Number: | 6304681831 |
Fax Number: | 6307011007 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 06/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 038-010326 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |