Individual
DR. BRIAN COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5000 S 5TH AVE, BLDG 228, 3N, HINES, IL 60141
(708) 202-3619
Mailing address
2421 W HARRISON ST UNIT 3, CHICAGO, IL 60612-0322
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.010834
IL
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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