Individual
DR. STEPHEN ANDREW COULSON
Active
Individual
DR. STEPHEN ANDREW COULSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
036-098320
IL
207R00000X
Internal Medicine Physician
Primary
01091281A
IN
207R00000X
Internal Medicine Physician
036-098320
IL
207RA0401X
Addiction Medicine (Internal Medicine) Physician
036-098320
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
036-098320
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0360983202
—
IL
Enumeration date
08/11/2005
Last updated
08/19/2025
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