Individual
BRIAN T COFFEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1850 W ROOSEVELT RD, CHICAGO, IL 60608-1200
(312) 997-3686
Mailing address
1850 W ROOSEVELT RD, CHICAGO, IL 60608-1200
(312) 997-3686
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046.011025
IL
Other
Enumeration date
06/27/2016
Last updated
01/04/2024
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