Individual
DANIEL COOMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5 KISH HOSPITAL DR STE 104, DEKALB, IL 60115-9602
(815) 748-6071
(630) 938-2679
Mailing address
5 KISH HOSPITAL DR STE 104, DEKALB, IL 60115-9602
(815) 748-6071
(630) 938-2679
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036143915
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/13/2014
Last updated
04/09/2024
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