Individual
MS. CATHERINE DENICE COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
6821 S HALSTED ST, CHICAGO, IL 60621-1833
(773) 651-3629
(773) 651-9268
Mailing address
7931 S SACRAMENTO AVE, CHICAGO, IL 60652-1613
(312) 998-3780
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041478538
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C455-1246-7897
DRIVERS LICENSE NUMBER
IL
Enumeration date
02/12/2021
Last updated
02/12/2021
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