Organization
DAVID J COYNIK, MD,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID JOSEPH COYNIK MD (OFICER)
(815) 223-6975
Entity
Organization
Contact information
Practice address
4413 N. PROGRESS BLVD., PERU, IL 61354-2763
(815) 223-6975
(815) 223-0640
Mailing address
4413 N. PROGRESS BLVD., PERU, IL 61354-2763
(815) 223-6975
(815) 223-0640
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
036055725
IL
Other
Enumeration date
01/18/2008
Last updated
05/18/2009
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