NPI 1184883688

Michael Paul Coffman, IDC

Practitioner Independent Duty Corpsman Great Lakes, IL

Practice location

Address: 601 D Street, Great Lakes, IL 60088-2822
Phone: (847) 688-4903
Mailing address: 601 D St, Great Lakes, IL 60088-2822

Registered specialties

Independent Duty Corpsman Primary

Other Service Providers Taxonomy 1710I1002X

Other Military Health Care Provider providers in Illinois →

Registry record

NPI: 1184883688
Entity type: Individual
Sex (as registered): Male
NPI issued: 9 Jun 2008
Record last updated: 9 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.