Individual
DR. BRIA COATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611
(312) 227-5397
Mailing address
225 E CHICAGO AVE, BOX 73, CHICAGO, IL 60611
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
036119599
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036119599
STATE LICENSE
IL
Enumeration date
08/14/2008
Last updated
02/05/2019
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