Matthew S Keene (NPI# 1508967621, PAC ID# 1355347576) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1508967621 |
| PAC ID by PECOS | 1355347576 |
| Professional Enrollment ID | I20061011000642 |
| Full Name | Matthew S Keene |
| Address |
2990 N Perryville Rd 4100a Rockford IL 61107-6827 |
| Phone Number | 8159808980 |
| Gender | M |
| Credential | DPM |
| Medical School | DR. WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140233 | OSF SAINT ANTHONY MEDICAL CENTER |
| 140150 | UNIVERSITY OF ILLINOIS HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1740 W Taylor St, Chicago, IL 60612-7232 | THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS | |
| 901 S Walcott St, Uic Orthopedic Sports Medicine, Chicago, IL 60612-3725 | 3129967161 | THE BOARD OF TRUSTEES OF THE UNIVERSITY OF ILLINOIS |
| 2990 N Perryville Rd, 4100a, Rockford, IL 61107-6827 | 8159808980 | |
| 5666 E State St, Rockford, IL 61108-2425 | 8152262000 | SAINT ANTHONY MEDICAL CENTER |
| Street Address |
2990 N PERRYVILLE RD 4100A |
| City | ROCKFORD |
| State | IL |
| Zip | 61107-6827 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martrice D Henderson Aldridge | Clinical Social Worker | 2990 N Perryville Rd, Suite 2100b, Rockford, IL 61107-6814 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Hultman | Clinical Social Worker | 4320 Spring Creek Rd, Suite 9, Rockford, IL 61107-1157 | |
| Casey Jane Pilcher | Clinical Social Worker | 4320 Spring Creek Rd, Suite 18, Rockford, IL 61107-1158 | |
| Christine Blake Feathers | Clinical Social Worker | 4320 Spring Creek Rd, Rockford, IL 61107-1175 | |
| Roger H Hill | Optometry | Primary Eye Care Centers PC | 1603 N Alpine Rd, Suite 121, Rockford, IL 61107-1439 |
| Vasana Lerdvoratavee | Optometry | Primary Eye Care Centers PC | 1603 N Alpine Rd, Suite 121, Rockford, IL 61107-1439 |
| Ronald Weingart | Optometry | Primary Eye Care Centers PC | 1603 N Alpine Rd, Suite 121, Rockford, IL 61107-1439 |
| Kelly A Kalt | Clinical Social Worker | 1639 N Alpine Rd, Suite 403, Rockford, IL 61107-1440 | |
| Amira Al-basha | Physician Assistant | Edgebrook Dermatology P.C. | 1639 N Alpine Rd, Suite 380, Rockford, IL 61107-1440 |
| Maria Albasha | Dermatology | Edgebrook Dermatology P.C. | 1639 N Alpine Rd, Suite 380, Rockford, IL 61107-1440 |
| Stephen D Beaman | Clinical Social Worker | 1639 N Alpine Rd, Suite 403, Rockford, IL 61107-1440 | |
| Find all physicians in zip 61107 | |||
| City | ROCKFORD |
| Zip Code | 61107 |
| Specialty | PODIATRY |
| City + Specialty | ROCKFORD + PODIATRY |
Please comment or provide details below to improve the information on Matthew S Keene.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.