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Organization
WILLIAM N COUGHLIN MD SC
Active
Organization
WILLIAM N COUGHLIN MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM COUGHLIN MD (PRESIDENT)
(217) 726-9020
Entity
Organization
Contact information
Practice address
2524 FARRAGUT DR, SPRINGFIELD, IL 62704-8400
(217) 726-9020
(217) 726-8343
Mailing address
2524 FARRAGUT DR, SPRINGFIELD, IL 62704-8400
(217) 726-9020
(217) 726-8343
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036056269
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036056269
—
IL
Enumeration date
07/06/2006
Last updated
01/22/2010
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