Individual
MS. DEANA M COAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
5635 STATE RD, BURBANK, IL 60459-2051
(708) 424-9200
(708) 499-5427
Mailing address
5635 STATE RD, BURBANK, IL 60459-2051
(708) 424-9200
(708) 499-5427
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041263104
IL
Other
Enumeration date
02/14/2011
Last updated
02/14/2011
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