Individual
KELLY R COATY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
100 VILLAGE GRN, SUITE 120 B, LINCOLNSHIRE, IL 60069-3094
(847) 634-2317
(847) 634-2376
Mailing address
100 VILLAGE GRN, SUITE 120 B, LINCOLNSHIRE, IL 60069-3094
(847) 634-2317
(847) 634-2376
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.002835
IL
Other
Enumeration date
09/14/2012
Last updated
09/25/2012
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