Individual
PATRICIA ANN COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,RD,LD,CDE
Contact information
Practice address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 469-4033
(312) 569-1168
Mailing address
820 S DAMEN AVE, CHICAGO, IL 60612-3728
(312) 469-4033
(312) 569-1168
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/09/2006
Last updated
07/08/2007
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