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Contact Information

MATTHEW S KEENE, DPM
4777 EAST STATE STREET
SUITE 8
ROCKFORD, IL61108
 Phone: 815-980-8980
 Fax: 815-397-2266
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Podiatric Medicine

213EP1101X 48 Podiatry
 

Podiatrist

213E00000X 48 Podiatry
 

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MATTHEW S KEENE · (Male)

NPI Number 1508967621
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 09/25/2006
Last updated 05/16/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 016005216
  • IL Medicaid 016005216
  • IL Other 010132351 ILLINOIS BLUE CROSS
Hospital affiliation(s)
  • SAINT ANTHONY MEDICAL CENTER - (Acute Care)
    5666 EAST STATE STREET
    ROCKFORD, IL 61108
  • UNIVERSITY OF ILLINOIS HOSPITAL - (Acute Care)
    1740 WEST TAYLOR ST SUITE 1400
    CHICAGO, IL 60612
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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