Individual
STEPHANIE PATRICE COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6000 OAKWOOD DR APT 3L, LISLE, IL 60532-3023
(773) 502-4604
Mailing address
6000 OAKWOOD DR APT 3L, LISLE, IL 60532-3023
(773) 502-4604
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041327916
IL
Other
Enumeration date
09/04/2021
Last updated
09/04/2021
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