Individual
SYLVIA COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
20 W KINZIE ST STE 17, CHICAGO, IL 60654-6393
(312) 776-2446
(312) 776-2459
Mailing address
2422 183RD ST APT 208, HOMEWOOD, IL 60430-3129
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
209020394
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209020394
ADULT GERONTOLOGY PRIMARY CARE NURSE PRACTITIONER
IL
Enumeration date
11/15/2019
Last updated
10/22/2020
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