Individual
DR. CHRISTOPHER WILLIAM COFFEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
14600 S LA GRANGE RD STE 5, ORLAND PARK, IL 60462-2580
(708) 860-1894
Mailing address
10348 LINDSAY LN, MOKENA, IL 60448-7995
(708) 860-1894
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
019029906
IL
Other
Enumeration date
10/18/2017
Last updated
10/18/2017
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