Individual provider · Type 1 NPI
Matthew S. Keene, DPM
Primary Podiatric Medicine Podiatrist · Rockford, IL
NPI number
1508967621
Active
Practice location
4777 East State Street, Suite 8
Rockford, IL 61108
Fax (815) 397-2266
Other practice locations
- 1801 W Taylor St, Chicago, IL 60612-4795 · (312) 996-7416
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | 016005216 (IL) |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 016005216 (IL) |
| Primary Podiatric Medicine Podiatrist Primary | 213EP1101X | 016005216 (IL) |
Primary Podiatric Medicine Podiatrist: Definition to come...
About NPI 1508967621
Matthew S. Keene, DPM's National Provider Identifier is 1508967621, issued on Sep 25, 2006. The primary taxonomy on file is Primary Podiatric Medicine Podiatrist (213EP1101X), and the practice location is in Rockford, IL. The record was last updated on May 16, 2025.