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Individual

BRITTNEY LYNN COSCOMB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2437 N SOUTHPORT AVE, CHICAGO, IL 60614-2060
(773) 472-8400
Mailing address
4148 W CORNELIA AVE # 2, CHICAGO, IL 60641-3918
(702) 202-8079

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.014887
IL

Other

Enumeration date
05/23/2022
Last updated
05/23/2022
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