Individual
DR. JOHN S COON IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 942-5700
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
036047650
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
220012615
RAILROAD
—
Enumeration date
12/08/2005
Last updated
10/31/2013
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