Individual
AUDREY COFIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8601 S PARNELL AVE, CHICAGO, IL 60620-2107
(312) 752-0648
Mailing address
8601 S PARNELL AVE, CHICAGO, IL 60620-2107
(312) 752-0648
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209023261
IL
Other
Enumeration date
08/02/2021
Last updated
10/11/2021
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