Kathleen Coogan
Kathleen Coogan is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
5841 S Maryland Ave # MC1052Chicago, IL 60637-1443
Phone: (773) 702-6760
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Specialties & licences
| Pediatrics Physician (primary) | Taxonomy 208000000X · Licence 125.083407 (IL) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1720724529 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 5, 2022 |
| Last updated in NPPES | May 8, 2024 |
| Certification date | May 8, 2024 |
| Mailing address | 180 Harvester Dr Ste 110, Burr Ridge, IL 60527-6686 |
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