LEWIS RUSSELL COULSON

CHICAGO, IL
NPI1619944931
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  036-043298)
Enumeration Date2006-03-06
Last Update Date2007-07-08
Business Address
-- LEWIS RUSSELL COULSON M.D.
820 S DAMEN AVE
CHICAGO, IL 60612-3728
Phone number: 312-569-6260
Mailing Address
-- LEWIS RUSSELL COULSON M.D.
3024 W LOGAN BLVD
CHICAGO, IL 60647-1708
Phone number: 312-569-6260
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