Individual
MS. KATARI I COLEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.T.
Contact information
Practice address
10747 S COTTAGE GROVE AVE, CHICAGO, IL 60628-3809
(773) 264-0928
Mailing address
10747 S COTTAGE GROVE AVE, CHICAGO, IL 60628-3809
(773) 264-0928
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
KC71971001P
IL
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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