Individual
AJA V. COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATS
Contact information
Practice address
5408 W WALTON ST, CHICAGO, IL 60651-2855
(312) 866-0870
Mailing address
5408 W WALTON ST, CHICAGO, IL 60651-2855
(312) 866-0870
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
09/06/2023
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