Elam Coalson
Elam Coalson is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
5841 S Maryland AveChicago, IL 60637-1443
Phone: (312) 967-9820
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1285264259 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 18, 2020 |
| Last updated in NPPES | January 18, 2020 |
| Certification date | January 18, 2020 |
| Mailing address | 937 E 54th Pl, Chicago, IL 60615-5050 |
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