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Individual

DR. ALAN BLAINE COON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
200 RIVERSIDE DR, BOURBONNAIS, IL 60914-4689
(815) 929-0010
(815) 929-0014
Mailing address
875 WHITE HAWK DR, CROWN POINT, IN 46307-2685
(708) 366-4587

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
01067843A
IN
2085R0001X
Radiation Oncology Physician
125048906
IL

Other

Enumeration date
07/31/2008
Last updated
08/21/2024
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