Individual
RYAN COATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9555 S 52ND AVE, OAK LAWN, IL 60453-3054
(708) 684-5437
Mailing address
505 N MCCLURG CT, #3104, CHICAGO, IL 60611-5420
(310) 883-4890
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125-049523
IL
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
036.121161
IL
Other
Enumeration date
08/07/2007
Last updated
04/20/2022
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