Individual
DEBORAH K COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5112 CHOKEBERRY DR, NAPERVILLE, IL 60564-5396
(630) 904-7361
Mailing address
5112 CHOKEBERRY DR, NAPERVILLE, IL 60564-5396
(630) 904-7361
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036-091588
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619414
BCBS GROUP
IL
05
—
3633309286030501
—
IL
Enumeration date
08/15/2006
Last updated
02/28/2010
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