| NPI | 1962002832 |
|---|---|
| Doing Business As | COLEMAN CLINIC |
| Entity Type | Organization |
| Authorized Contact | GLENNETTA COLEMAN Owner 815-227-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2021-01-18 |