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Individual

KATIE COFFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
215 E LAKE ST, BLOOMINGDALE, IL 60108-1163
(847) 278-1527
Mailing address
215 E LAKE ST, BLOOMINGDALE, IL 60108-1163
(847) 278-1527

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209.028637
IL

Other

Enumeration date
11/01/2023
Last updated
11/01/2023
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