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1124479571
BRIAN T COFFEY
CHICAGO, IL
NPI
1124479571
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046.011025)
Enumeration Date
2016-06-27
Last Update Date
2024-01-04
Business Address
BRIAN T COFFEY O.D.
1850 W ROOSEVELT RD
CHICAGO, IL 60608-1200
Phone number: 312-997-3686
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Mailing Address
BRIAN T COFFEY O.D.
1850 W ROOSEVELT RD
CHICAGO, IL 60608-1200
Phone number: 312-997-3686
Copy
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