Provider Demographics
NPI:1932346558
Name:WALKER, MATTHEW GUY (DC)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:GUY
Last Name:WALKER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 W KINZIE ST
Mailing Address - Street 2:#3910
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60654-5727
Mailing Address - Country:US
Mailing Address - Phone:847-910-2567
Mailing Address - Fax:
Practice Address - Street 1:45 S DUNTON AVE
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005-1401
Practice Address - Country:US
Practice Address - Phone:847-368-1122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-20
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL038011342111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor