Individual
DR. KALEE ANN COAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
233 E ERIE ST, SITE 406, CHICAGO, IL 60611-2926
(312) 587-0200
(312) 587-0223
Mailing address
233 E ERIE STREET, SUITE 406, CHICAGO, IL 60611
(312) 587-0200
(312) 587-0223
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
319014231
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
364414790
TAX I.D.
IL
Enumeration date
07/30/2006
Last updated
10/22/2011
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