Individual
ISABEL ANGELA COATS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,CCC-SLP
Contact information
Practice address
1526 TORREY PINES RD, NORMAL, IL 61761-5709
(309) 838-9397
(309) 452-4045
Mailing address
1526 TORREY PINES RD, NORMAL, IL 61761-5709
(309) 838-9397
(309) 452-4045
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05732062
BLUE CROSS BLUE SHIELD
IL
Enumeration date
01/30/2007
Last updated
07/08/2007
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