# DAVID J COYNIK, MD,PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225214323
- **Authorized official:** DR. DAVID JOSEPH COYNIK MD (OFICER)
- **Authorized official phone:** (815) 223-6975

## Contact information

- **Practice address:** 4413 N. PROGRESS BLVD., PERU, IL 61354-2763
- **Practice address phone:** (815) 223-6975
- **Practice address fax:** (815) 223-0640
- **Mailing address:** 4413 N. PROGRESS BLVD., PERU, IL 61354-2763
- **Mailing address phone:** (815) 223-6975
- **Mailing address fax:** (815) 223-0640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 036055725 | IL | Yes |

## Other

- **Enumeration date:** 01/18/2008
- **Last updated:** 05/18/2009