| NPI | 1942315197 |
|---|---|
| Doing Business As | COLEMAN CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHRIS DUVENDACK VP Of Clinic Operations 309-647-0201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IL 036071254) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: IL 036109260) |
| 207V00000X Obstetrics & Gynecology (Licence: IL 036093443) | |
| 207X00000X Orthopaedic Surgery (Licence: IL 036113333) | |
| 208000000X Pediatrics (Licence: IL 036100137) | |
| 208600000X Surgery (Licence: IL 036085171) | |
| 363L00000X Nurse Practitioner (Licence: IL 041150128) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2007-12-04 |