Individual
CAITLYN COBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
350 N WALL ST, KANKAKEE, IL 60901-2901
(815) 933-1671
Mailing address
1605 E CENTRAL RD UNIT 121C, ARLINGTON HEIGHTS, IL 60005-3339
(603) 557-3895
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.484462
IL
367500000X
Certified Registered Nurse Anesthetist
070631-23
NH
367500000X
Certified Registered Nurse Anesthetist
Primary
135212
IL
Other
Enumeration date
04/17/2021
Last updated
04/06/2026
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