Michelle Coburn
Specialist, Prosthetics Case Management in Chicago, IL. Individual provider (NPI-1).
NPI number1164034633
StatusActive
Last updated in NPPESAug 17, 2020
Details
- NPI
- 1164034633
- Entity type
- Individual (NPI-1)
- Name
- Michelle Coburn
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 17, 2020
- Certification date
- Aug 17, 2020
- Last updated
- Aug 17, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1744P3200X | Specialist, Prosthetics Case Management | – | – | Yes |
Practice location
8327 S Loomis BlvdChicago, IL 60620-3958
Phone 708-573-6342
Mailing address
8327 S Loomis BlvdChicago, IL 60620-3958
Phone 708-573-6342
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