Individual
DR. JOSEPH JAMES COUGHLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7447 W TALCOTT AVE, SUITE 454, CHICAGO, IL 60631-3745
(773) 631-5767
(773) 631-0828
Mailing address
7447 W TALCOTT AVE, SUITE 454, CHICAGO, IL 60631-3745
(773) 631-5767
(773) 631-0828
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
036-061078
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-061078
—
IL
01
—
K46661
MEDICARE PROVIDER NUMBER
—
Enumeration date
10/03/2006
Last updated
03/07/2023
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