Individual
MRS. FELECIA TERESA COLEMAN-BLACKSHIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3235 W 84TH PL, CHICAGO, IL 60652-3306
(773) 983-1337
Mailing address
3235 W 84TH PL, CHICAGO, IL 60652-3306
(773) 983-1337
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209008557
IL
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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