Dr. Bruce Liron Matchin, DOCTOROFOSTEOPATHY
Dr. Bruce Liron Matchin, DOCTOROFOSTEOPATHY is a Sports Medicine (Family Medicine) Physician in North Chicago, Illinois. Practices as a sole proprietor. Licensed in Missouri and Virginia.
- Licensed in
- MO, VA
- In the registry since
- 2008
- Specialties on file
- 2
Practice location Partly verified
Captain James A Lovell Federal Health Care Center 3001 Green Bay RdNorth Chicago, IL 60064
Phone: (847) 688-1900
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Specialties & licences
| Sports Medicine (Family Medicine) Physician (primary) | Taxonomy 207QS0010X · Licence 2021016045 (MO) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X (VA) |
Record details
| NPI number | 1821251794 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DOCTOROFOSTEOPATHY |
| Sole proprietor | Yes |
| NPI enumerated | July 9, 2008 |
| Last updated in NPPES | October 28, 2021 |
| Certification date | October 8, 2021 |