Provider Demographics
NPI:1932346566
Name:MCCOYD, MATTHEW ALFRED (MD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:ALFRED
Last Name:MCCOYD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5841 S MARYLAND AVE # MC2030
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60637-1447
Mailing Address - Country:US
Mailing Address - Phone:773-702-6800
Mailing Address - Fax:773-834-7250
Practice Address - Street 1:5841 S MARYLAND AVE # MC2030
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60637-1447
Practice Address - Country:US
Practice Address - Phone:773-702-6800
Practice Address - Fax:773-834-7250
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-20
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361223352084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology